IDAHO DEPT OF HEALTH & WELFARE CMH CLINIC BOISE
NPI 1205966249
Clinic/Center - Adolescent and Children Mental Health in Boise, ID

NPI Status: Active since March 07, 2007

Contact Information

1720 WESTGATE DR
SUITE D
BOISE, ID
ZIP 83704
Phone: (208) 334-0792
Fax: (208) 334-0812

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About IDAHO DEPT OF HEALTH & WELFARE CMH CLINIC BOISE

This page provides the complete NPI Profile along with additional information for Idaho Dept Of Health & Welfare Cmh Clinic Boise, a provider established in Boise, Idaho operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1205966249 assigned on March 2007. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Gina Westcott M.a, (Program Manager)

NPI
1205966249
Provider Name
IDAHO DEPT OF HEALTH & WELFARE CMH CLINIC BOISE
Entity Type
Organization
Location Address
1720 WESTGATE DR SUITE D BOISE, ID 83704
Location Phone
(208) 334-0792
Location Fax
(208) 334-0812
Mailing Address
1720 WESTGATE DR SUITE D BOISE, ID 83704
Mailing Phone
(208) 334-0792
Mailing Fax
(208) 334-0812
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GINA WESTCOTT M.A,

Authorized Official Title
PROGRAM MANAGER
Authorized Official Phone
(208) 334-0969

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000010019129OTHER (01)BLUE SHIELD
8075988MEDICAID (05)ID 
HW090OTHER (01)BLUE CROSS OF IDAHO

Reviews for IDAHO DEPT OF HEALTH & WELFARE CMH CLINIC BOISE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205966249
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051861228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 6 + 1 + 2 + 2 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1205966249 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568502409IDAHO DEPT OF HEALTH & WELFARE ITP REGION 4
Organization
Early Intervention Provider Agency1720 WESTGATE DR SUITE B-2
BOISE, ID 83704
(208) 334-0900
1750423216IDAHO DEPT OF HEALTH & WELFARE ESC REGION 4
Organization
Case Management1720 WESTGATE DR SUITE B-2
BOISE, ID 83704
(208) 334-0900
1891825824IDAHO DEPT OF HEALTH & WELFARE REGION 4 CMH PSR BOISE
Organization
Clinic/Center (Rehabilitation)1720 WESTGATE DR SUITE D
BOISE, ID 83704
(208) 334-0792
1487784435IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC BOISE
Organization
Clinic/Center (Adult Mental Health)1720 WESTGATE DR SUITE B-1
BOISE, ID 83704
(208) 334-0894
1205966157IDAHO DEPT OF HEALTH & WELFARE AMH PSR BOISE
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1720 WESTGATE DR SUITE B-1
BOISE, ID 83704
(208) 334-0894

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205966249, enumerated in the NPI registry as an "organization" on March 07, 2007

The provider is located at 1720 Westgate Dr Suite D Boise, Id 83704 and the phone number is (208) 334-0792

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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