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

Id Behavioral Health, PLLC

Organization Physician Assistant · NPI 1548145162

Id Behavioral Health, PLLC is a Physician Assistant in Idaho Falls, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 N Woodruff Ave
Idaho Falls, ID 83401-4335
Phone: (208) 557-3255
Fax: (208) 471-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1548145162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Pond — Owner/Clinician · (208) 557-3255
NPI enumeratedAugust 11, 2025
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address150 N Woodruff Ave, Idaho Falls, ID 83401-4335

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