Psychosocial Rehabilitation Specialists
LBN: John L Christensen Phd Pc
Psychosocial Rehabilitation Specialists is an health care organization with primary practice located at 500 S 11Th Ave Suite 302, Pocatello ID 83201. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Agencies / Community/Behavioral Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is the primary health care specialty.
John L Christensen Phd Pc can be contacted via phone (208) 233-0150, or through Christensen, Nichole via phone (208) 234-1707.
Contact Information
Primary practice address
500 S 11Th Ave Suite 302
Pocatello ID 83201
Phone: (208) 233-0150
Fax: (208) 233-0159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | PSY202148 | Idaho |
| Agencies / Community/Behavioral Health | 251S00000X | PSY202148 | Idaho |
Profile Details
| NPI number | 1245353440 |
|---|---|
| LBN Legal business name | John L Christensen Phd Pc |
| DBA Doing business as | Psychosocial Rehabilitation Specialists |
| Authorized official | Christensen, Nichole |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | May 27th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245353440 | NPPES |
| Idaho | MEDICAID | 807691400 |
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