NPI age
4 years
Enumerated 2022-02-08
● Active Type 2 · Organization
High Tide Psychiatry, Pllc
High Tide Psychiatry, Pllc is 1 of 374 nurse practitioner organizations in Idaho.
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
Mailing address
1500 Pancheri Dr Ste 4
Idaho Falls, ID 834023212
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.
- Robert Greenig, PMHNP-BC Nurse Practitioner NPI 1215567714
- Amber Van Sickle-Birch, PMHNP Nurse Practitioner NPI 1831716604
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
HIGH TIDE PSYCHIATRY
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.