NPI age
19 years
Enumerated 2006-12-07
● Active Type 2 · Organization
Subpart
Idaho State University, Psychology Clinic
Idaho State University, Psychology Clinic is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cellucci
Director Of Psych Clinic
Last NPPES update
2008-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
Isu Psychology Clinic Idaho State University, 921 S. 8th Avenue, Stop 8021
Pocatello, ID 832090001
Mailing address
Isu Psychology Clinic Idaho State University, 921 S. 8th Avenue, Stop 8021
Pocatello, ID 832090001
Authorized official
Anthony J. Cellucci, PH.D.
Director Of Psych Clinic
📞 2082822129
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Practice context
Single-site organization. Only one practice location on file.
Subpart of Idaho State University.
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