High Tide Psychiatry, PLLC
NPI 1023762119 · Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
High Tide Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Idaho Falls, ID (NPI 1023762119).
Provider details
- NPI number
- 1023762119
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amber Van Sickle-Birch, Owner(208) 557-3870
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- High Tide Psychiatry
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Frequently asked questions
- What is High Tide Psychiatry, PLLC's NPI number?
- High Tide Psychiatry, PLLC's National Provider Identifier (NPI) is 1023762119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is High Tide Psychiatry, PLLC?
- High Tide Psychiatry, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is High Tide Psychiatry, PLLC located?
- High Tide Psychiatry, PLLC's practice location on file with NPPES is 1500 Pancheri Dr Ste 4, Idaho Falls, ID 83402-3212.
- What is High Tide Psychiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for High Tide Psychiatry, PLLC is (208) 557-3870.
- Does High Tide Psychiatry, PLLC accept Medicare?
- High Tide Psychiatry, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for High Tide Psychiatry, PLLC?
- The authorized official listed on High Tide Psychiatry, PLLC's NPPES record is Amber Van Sickle-Birch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is High Tide Psychiatry, PLLC's NPI active?
- Yes — High Tide Psychiatry, PLLC's NPI (1023762119) is active in the NPPES registry as of the last update on 2022-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.