P Praxis·MD
● Active Type 2 · Organization

High Tide Psychiatry, Pllc

Nurse Practitioner·Idaho Falls, ID· NPI 1023762119 · Enumerated 2022 · 4 years on NPI
High Tide Psychiatry, Pllc is 1 of 374 nurse practitioner organizations in Idaho.
NPI age
4 years
Enumerated 2022-02-08
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Van Sickle-Birch
Owner
Last NPPES update
2022-02-08
Source: monthly bulk 2026-05

How this organization compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-02Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
1500 Pancheri Dr Ste 4
Idaho Falls, ID 834023212
📞 2085573870
Mailing address
1500 Pancheri Dr Ste 4
Idaho Falls, ID 834023212
📞 2085573870

Authorized official

Amber Jane Van Sickle-Birch, PMHNP
Owner
📞 2085573870

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • HIGH TIDE PSYCHIATRY
    Type code 3 recorded 2022-02-08

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 374 Nurse Practitioner providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related