NPI age
8 years
Enumerated 2018-04-13
● Active Type 2 · Organization
Gritman Medical Center Inc
Gritman Medical Center Inc is 1 of 245 psychiatry & neurology organizations in Idaho.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thorston
Pfs Super Visor
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 245 active psychiatry & neurology providers in Idaho.
NPI age
8 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-04Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
803 S Main St Ste 210
Moscow, ID 838432695
Mailing address
Po Box 8007
Moscow, ID 838430507
Authorized official
Teresa Thorston
Pfs Super Visor
📞 2088854511
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jonathan Holloway, DNP Nurse Practitioner NPI 1760089841
- Rajeev Rajendra, M.D. Internal Medicine NPI 1992902803
Specialties
-
Psychiatry & Neurology PrimaryA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Gritman Psychiatric Services
-
Gritman Psychiatric Services
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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