| Clearwater Neurosciences Pllc | |
|
3326 4th St Ste 6 Lewiston ID 83501-4455 | |
| (208) 746-2223 | |
| (208) 746-2226 |
| Full Name | Clearwater Neurosciences Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3326 4th St Ste 6, Lewiston, Idaho |
| Authorized Official Name and Position | Gail Richardson (OFFICE MANAGER) |
| Authorized Official Contact | 2087462223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Neurosciences Pllc 3326 4th St Ste 6 Lewiston ID 83501-4455 Ph: (208) 746-2223 | Clearwater Neurosciences Pllc 3326 4th St Ste 6 Lewiston ID 83501-4455 Ph: (208) 746-2223 |
| NPI Number | 1760086300 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Medicare PECOS PAC ID | 6709292766 |
|---|---|
| Medicare Enrollment ID | O20210317001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760086300 | NPI | - | NPPES |
| 1932492824 | Other | ID | STACY HILL, PH.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Stacy W Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932492824 PECOS PAC ID: 7416129515 Enrollment ID: I20111014000278 |
| Provider Name | Natasha Vanessa Demattos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922217678 PECOS PAC ID: 0840354411 Enrollment ID: I20111015000038 |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |