NPI age
19 years
Enumerated 2007-03-14
● Active Type 2 · Organization
Brannon & Brannon Psychological Services PA
Brannon & Brannon Psychological Services PA is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brannon
Secretary
Last NPPES update
2019-10-29
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
534 Trejo Street, Suite 100
Rexburg, ID 83440
Mailing address
534 Trejo Street, Suite 100
Rexburg, ID 83440
Authorized official
James M Brannon, ED.D.
Secretary
📞 2083563776
Individual providers at this organization
2 individual providers on file at this primary practice address.
- James Brannon, ED.D. Psychologist NPI 1518090604
- Marilyn Brannon, PH.D. Psychologist NPI 1497889968
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002803600 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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