Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cameron Staley PHD LLC

Organization Adult Mental Health Clinic/Center · NPI 1295589935

Cameron Staley PHD LLC is an Adult Mental Health Clinic/Center in Chubbuck, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5026 Cassie Dr
Chubbuck, ID 83202-5252
Phone: (801) 644-2006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1295589935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cameron Staley — Manager · (208) 269-5475
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address5026 Cassie Dr, Chubbuck, ID 83202-5252