| Psychological Assessment Specialists | |
|
1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373 | |
| (208) 233-0150 | |
| (208) 233-0159 |
| Full Name | Psychological Assessment Specialists |
|---|---|
| Speciality | Psychologist |
| Location | 1246 Yellowstone Ave Ste C5, Pocatello, Idaho |
| Authorized Official Name and Position | John L. Christensen (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2082330150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Assessment Specialists 1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373 Ph: (208) 233-0150 | Psychological Assessment Specialists 1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373 Ph: (208) 233-0150 |
| NPI Number | 1922129840 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 12/08/2024 |
| Certification Date | 12/08/2024 |
| Medicare PECOS PAC ID | 6608815303 |
|---|---|
| Medicare Enrollment ID | O20050502001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922129840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Idaho) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (Idaho) | Primary |
| Provider Name | John L Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124175898 PECOS PAC ID: 9234178930 Enrollment ID: I20050505001043 |
| Provider Name | Charles W Jenks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295145985 PECOS PAC ID: 3173873346 Enrollment ID: I20180910000975 |
| Provider Name | Pamela L Davies |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538261169 PECOS PAC ID: 9537697347 Enrollment ID: I20250107003575 |
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