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

Theresa L. Ross, PHD

Individual provider Clinical Psychologist · NPI 1891842563

Theresa L. Ross, PHD is a Clinical Psychologist in Pocatello, Idaho. Qualified in 1979, 47 years ago. Practices with Willamette Valley Family Center, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
47
Licensed in
ID
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

777 Hospital Way Ste G11
Pocatello, ID 83201-5175
Phone: (208) 239-1710
Fax: (208) 239-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY202084 (ID)

Record details

NPI number1891842563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESSeptember 18, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Willamette Valley Family Center — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello