OrganizationActive
Canvi Behavioral Health PLLC
NPI 1144984873 · Psychiatric/Mental Health Nurse Practitioner · Chubbuck, ID
Provider details
- NPI number
- 1144984873
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Krista Batts, Contracting Manager(208) 380-4978
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 83202-2376
Phone: (208) 252-5621
Fax: (208) 648-4167
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2516
Pocatello, ID 83206-2516
Additional practice locations (4)
- 333 W Cedar St Ste 3Pocatello, ID 83201-5045Phone: (208) 252-5621Fax: (208) 648-4167
- 1120 Stocks Ave Ste 102Rexburg, ID 83440-3508Phone: (208) 745-2580Fax: (208) 648-4167
- 476 Heritage Park Blvd Ste 230Layton, UT 84041-5636Phone: (801) 896-5345Fax: (801) 896-5334
- 347 W Gordon Ave Ste 1Layton, UT 84041-2389Phone: (801) 896-5341Fax: (801) 896-5334
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.