PANHANDLE BEHAVIOAL HEALTH — NPI 1851423446 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation in COEUR D ALENE, ID)

CMS-1500 Box 24J / 33a • NPI

1851423446

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TR0400X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation

Box 32 Service Location & ZIP+4

212 S 11TH ST, SUITE 5, COEUR D ALENE, ID, 83814-4000

✓ 9-Digit EDI 837 ZIP+4 (83814-4000)

Practice Phone & Referral Fax

(208) 755-6121

Fax: (208) 667-2681

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1851423446 (PANHANDLE BEHAVIOAL HEALTH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1851423446` (NPI-2 Organization / Facility)
Provider / Legal Name	PANHANDLE BEHAVIOAL HEALTH
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation NUCC Code: `103TR0400X` (Psychologist, Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	212 S 11TH ST, SUITE 5, COEUR D ALENE, ID, 83814-4000
Practice Telephone / Fax	Tel: (208) 755-6121 \| Fax: (208) 667-2681
Administrative Mailing Address	32126 ALLISON RD, ST IGNATIUS, MT, 59865-9155
Enumeration & Last Sync	Enumerated: 2007-03-10 \| CMS Record Updated: 2008-08-07
Authorized Official	JACK WRIGHT (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

212 S 11TH ST, SUITE 5, COEUR D ALENE, ID, 83814-4000

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Plain-English Taxonomy & CMS Crosswalk (103TR0400X)

What Does Taxonomy Code 103TR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TR0400X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PANHANDLE BEHAVIOAL HEALTH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TR0400X` — Psychologist, Rehabilitation Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PANHANDLE BEHAVIOAL HEALTH (NPI #1851423446)