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REGENTS OF THE UNIVERSITY OF IDAHO CHILD & YOUTH STUDY CENTER NPI 1609902980


NPI Information

NPI: 1609902980
Provider Name: REGENTS OF THE UNIVERSITY OF IDAHO CHILD & YOUTH STUDY CENTER

Doing Business As: CHILD & YOUTH STUDY CENTER

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
121 WEST SWEET AVENUE
MOSCOW, ID
ZIP 83843
Phone: (208) 885-6191
Get Directions

REGENTS OF THE UNIVERSITY OF IDAHO CHILD & YOUTH STUDY CENTER is a clinical child and adolescent psychologist in Moscow, ID. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. REGENTS OF THE UNIVERSITY OF IDAHO CHILD & YOUTH STUDY CENTER NPI is 1609902980. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Child & Youth Study Center.

The provider's business location address is:

121 WEST SWEET AVENUE
MOSCOW, ID
ZIP 83843
Phone: (208) 885-6191
Fax: (208) 885-6188

The provider's authorized official is Gwen Elaine Mitchell .
The authorized official title is Director and has the following contact phone number (208) 885-6191.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 4/1/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807220700MEDICAIDIDAHO

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: 11/14/2023

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