P Praxis·MD
● Active Type 2 · Organization

Eagle Crest Life Services

Psychologist·Coeur D Alene, ID· NPI 1659572493 · Enumerated 2007 · 18 years on NPI
Eagle Crest Life Services is 1 of 7 psychologist organizations in Idaho.
NPI age
18 years
Enumerated 2007-05-30
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wheeler
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 7 active psychologist providers in Idaho.

NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
416 E Coeur Dalene Ave
Coeur D Alene, ID 838142825
📞 2086669162
Mailing address
Po Box 3723
Coeur D Alene, ID 838162529

Authorized official

Robert Wheeler
President
📞 2086669162

Specialties

  • Psychologist Primary
    A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology...
    taxonomy 103TP0016X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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