Spectrum Connection Behavioral Health Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
SPECTRUM CONNECTION BEHAVIORAL HEALTH LLC	1558076513	2023-01-13

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 Type	Organization

Provider Organization	SPECTRUM CONNECTION BEHAVIORAL HEALTH LLC
Practice Office Address	1033 BALDY MOUNTAIN RD STE 103 SANDPOINT, ID US
Practice Office Telephone	2082612740
Practice Office Fax	2086252062
Mailing Address	105 VERMEER DR. #2 PMB 233 PONDERAY, ID 83852 US
Business Telephone	2082612740
Business Fax	2086252062
Authorized Official	CYNTHIA D TOMT, OWNER/PROVIDER 2082612740

Contact Endpoints

EHR portal []

https://spectrumconnectbh.clientsecure.me.

Health Information Exchange (HIE)

HPT Codes

Code	Practice	License No State
1041C0700X PRIMARY	Access 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 MULT		Group Code

OPI Codes

806106400

MEDICAID

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