OrganizationActive
Physicians Mental Health Services
NPI 1194063750 · Mental Health Clinic/Center (Including Community Mental Health Center) · Pocatello, ID
Provider details
- NPI number
- 1194063750
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Advanced Healthcare Solutions, LLC
- Organization subpart
- Yes
- Authorized official
- Matthew Andersen, Director(208) 232-0021
- License
- 0314 (ID)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 0314 (ID)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
475 Yellowstone Ave
Suite E
Pocatello, ID 83201-4528
Phone: (208) 478-7422
Fax: (208) 478-1515
Street-level locationGet directions
Mailing address
1110 Call Creek Dr
Pocatello, ID 83201-3001
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 2016-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.