NPI age
13 years
Enumerated 2013-01-16
● Active Type 2 · Organization
Subpart
Physicians Mental Health Services
Physicians Mental Health Services is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andersen
Director
Last NPPES update
2016-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
13 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
475 Yellowstone Ave, Suite E
Pocatello, ID 832014528
Mailing address
1110 Call Creek Dr, Suite 7
Pocatello, ID 832013001
Authorized official
Matthew Andersen, LPC
Director
📞 2082320021
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Cody Evans, LCPC Counselor NPI 1366756181
- Bradley Sutton, DDS Dentist NPI 1467543595
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Advanced Healthcare Solutions, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.