State Hospital South Group 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 Hospital South Group 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 Hospital South Group is 17 (Psychologist) in Idaho. State Hospital South Group 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 Hospital South Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
State Hospital South Group
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 Hospital South Group 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 Hospital South Group 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 Hospital South Group 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 Hospital South Group at 700 E Alice St, Blackfoot, Idaho or can call to book an appointment on 208-785-8506. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.