STARLIGHT PSYCHOLOGICAL SERVICES PLLC NPI 1467136523

NPI Information

  • NPI: 1467136523
  • Provider Name: STARLIGHT PSYCHOLOGICAL SERVICES PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 101 S PARK AVE
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 715-7551

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NPI Details

STARLIGHT PSYCHOLOGICAL SERVICES PLLC is an adult mental health clinic center in Idaho Falls, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. STARLIGHT PSYCHOLOGICAL SERVICES PLLC NPI is 1467136523. The provider is registered as an organization entity type.

The provider's business location address is:

101 S PARK AVE
IDAHO FALLS, ID
ZIP 83402-627
Phone: (208) 715-7551

The provider's authorized official is Ashley Wasilewski .
The authorized official title is Owner and has the following contact phone number (347) 515-5039.

The enumeration date for this NPI number is 6/9/2023 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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