NPI Registry.org

Spectrum Connection Behavioral Health Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
SPECTRUM CONNECTION BEHAVIORAL HEALTH LLC15580765132023-01-13

The organization Spectrum Connection Behavioral Health Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1558076513. Registration indicates Spectrum Connection Behavioral Health Llc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Entity TypeOrganization
Provider OrganizationSPECTRUM CONNECTION BEHAVIORAL HEALTH LLC
Practice Office Address1033 BALDY MOUNTAIN RD STE 103
SANDPOINT, ID US
Practice Office Telephone2082612740
Practice Office Fax2086252062
Mailing Address105 VERMEER DR. #2 PMB 233
PONDERAY, ID 83852 US
Business Telephone2082612740
Business Fax2086252062
Authorized OfficialCYNTHIA D TOMT, OWNER/PROVIDER
2082612740
Contact Endpoints
EHR portal []https://spectrumconnectbh.clientsecure.me.Health Information Exchange (HIE)
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Social Worker Clinical
Behavioral Health & Social Service Providers
Social Worker
193200000X MULTGroup Code
OPI Codes
806106400 MEDICAID ID
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