OrganizationActive
State of Idaho
NPI 1053615260 · Psychologist · Blackfoot, ID
State of Idaho is a Psychologist organization in Blackfoot, ID (NPI 1053615260).
Provider details
- NPI number
- 1053615260
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- State Hospital South
- Organization subpart
- Yes
- Authorized official
- Lorna Colvin, Patient Account Specialist(208) 785-8506
- License
- 17 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
700 E Alice St
Blackfoot, ID 83221-4925
Phone: (208) 785-8506
Fax: (208) 785-8518
Street-level locationGet directions
Mailing address
700 E Alice St
Blackfoot, ID 83221-4925
Other names (DBA / former)
- Doing business as
- State Hospital South Group
Registry dates
- Enumerated
- 2011-01-03
- Last updated
- 2011-01-03
Frequently asked questions
- What is State of Idaho's NPI number?
- State of Idaho's National Provider Identifier (NPI) is 1053615260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Idaho?
- State of Idaho is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is State of Idaho located?
- State of Idaho's practice location on file with NPPES is 700 E Alice St, Blackfoot, ID 83221-4925.
- What is State of Idaho's phone number?
- The practice phone number listed in the NPPES registry for State of Idaho is (208) 785-8506.
- Who is the authorized official for State of Idaho?
- The authorized official listed on State of Idaho's NPPES record is Lorna Colvin, Patient Account Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Idaho's NPI active?
- Yes — State of Idaho's NPI (1053615260) is active in the NPPES registry as of the last update on 2011-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.