NPI age
11 years
Enumerated 2015-02-11
● Active Type 2 · Organization
Subpart
State Of Idaho Department Of Health And Welfare
State Of Idaho Department Of Health And Welfare is 1 of 196 psychologist organizations in Idaho.
Primary specialty
Psychologist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shields
Patient Account Spec
Last NPPES update
2015-03-25
Source: monthly bulk 2026-05
How this organization compares
Across 196 active psychologist providers in Idaho.
NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
700 East Alice
Blackfoot, ID 83221
Mailing address
P.o. Box 400
Blackfoot, ID 83221
Authorized official
Lynn D Shields
Patient Account Spec
📞 2087858462
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Daniel Harrison, PHARM. D. Pharmacist NPI 1013132471
Specialties
-
Psychologist PrimaryA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
-
PsychologistA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SHS Psychiatric Group
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of State Of Idaho Department Of Health And Wel.
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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.