| High Desert Psychiatry Llc | |
|
4477 W Emerald St Ste C275 Boise ID 83706-2078 | |
| (208) 315-6444 | |
| Not Available |
| Full Name | High Desert Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4477 W Emerald St Ste C275, Boise, Idaho |
| Authorized Official Name and Position | Warren Grant Harbison (OWNER) |
| Authorized Official Contact | 2083156444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Psychiatry Llc 1775 W State St Ste 123 Boise ID 83702-3924 Ph: (208) 615-6444 | High Desert Psychiatry Llc 4477 W Emerald St Ste C275 Boise ID 83706-2078 Ph: (208) 315-6444 |
| NPI Number | 1851912117 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Medicare PECOS PAC ID | 0648693853 |
|---|---|
| Medicare Enrollment ID | O20200707001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851912117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Warren Grant Harbison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194740019 PECOS PAC ID: 0143255661 Enrollment ID: I20200707001422 |
Boise Behavioral Medicine Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
Saint Alphonsus Regional Medical Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Allumbaugh St, Boise, ID 83704 Phone: 208-367-3069 Fax: 208-367-3002 | |
Living Well, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709 Phone: 208-322-2412 Fax: 208-345-2077 | |
Continual Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 W Bannock St # Ss, Boise, ID 83702 Phone: 208-602-7007 | |
Cda Solution Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10080 W Smoke Ranch Dr, Boise, ID 83709 Phone: 208-703-6004 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
Arrowleaf Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704 Phone: 208-954-5594 Fax: 208-954-5598 |