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

Idaho State University

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1982475091

Idaho State University is a Mental Health Clinic/Center (Including Community Mental Health Center) in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

421 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 373-1743
Fax: (833) 499-1813
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1982475091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Isu Community Psychiatric Center
NPI enumeratedJanuary 9, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateJanuary 30, 2024
Mailing address921 S 8th Ave Stop 8311, Pocatello, ID 83201-5377

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