State Of Idaho is a Psychology Clinic in Blackfoot, Idaho. This organization is also known as sub part of State Hospital South. It is located at 700 E Alice St, Blackfoot, ID and its contact number is 208-785-8506. The authorized person for State Of Idaho is Lorna B Colvin
who is Patient Account Specialist of the clinic and his/her contact number is 208-785-8506. The primary license number for State Of Idaho is 17 (Psychologist) in Idaho.
State Of Idaho Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
State Of Idaho Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | State Of Idaho |
| Specialization: | General Psychology |
| Clinic Address: | 700 E Alice St, Blackfoot,
Idaho, 83221-4925 |
| Phone: | 208-785-8506 |
| Fax: | 208-785-8518 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Lorna B Colvin |
| Position: | Patient Account Specialist |
| Contact Number: | 208-785-8506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for State Of Idaho clinic are as mentioned below.
| NPI Number: | 1053615260 |
| Parent Organization: | State Hospital South |
| NPI Enumeration Date: | 03 Jan, 2011 |
| NPI Last Update On: | 03 Jan, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Idaho are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychologist | 17 | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00844 | Other | Idaho | Blue Cross |
| 1992789101 | Medicaid | Idaho | |
| 20315 | Other | Idaho | Regence Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | State Of Idaho
700 E Alice St, Po Box 400
Blackfoot, Idaho |
| Zip: | 83221-4925 |
| Phone Number: | 208-785-8506 |
| Fax Number: | 208-785-8518 |
Patients can reach State Of Idaho at
700 E Alice St, Blackfoot, Idaho or can
call to book an appointment on 208-785-8506.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.