Idaho State University, Psychology Clinic
NPI 1174682959 · Community/Behavioral Health Agency · Pocatello, ID
Idaho State University, Psychology Clinic is a Community/Behavioral Health Agency organization in Pocatello, ID (NPI 1174682959).
Provider details
- NPI number
- 1174682959
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Idaho State University
- Organization subpart
- Yes
- Authorized official
- Anthony Cellucci, Director of Psych Clinic(208) 282-2129
- License
- 344 (ID)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2008-06-17
Frequently asked questions
- What is Idaho State University, Psychology Clinic's NPI number?
- Idaho State University, Psychology Clinic's National Provider Identifier (NPI) is 1174682959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho State University, Psychology Clinic?
- Idaho State University, Psychology Clinic is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Idaho State University, Psychology Clinic located?
- Idaho State University, Psychology Clinic's practice location on file with NPPES is Isu Psychology Clinic Idaho State University, Pocatello, ID 83209-0001.
- What is Idaho State University, Psychology Clinic's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University, Psychology Clinic is (208) 282-2129.
- Who is the authorized official for Idaho State University, Psychology Clinic?
- The authorized official listed on Idaho State University, Psychology Clinic's NPPES record is Anthony Cellucci, Director of Psych Clinic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho State University, Psychology Clinic's NPI active?
- Yes — Idaho State University, Psychology Clinic's NPI (1174682959) is active in the NPPES registry as of the last update on 2008-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.