JOANNE BURGIO PHD LLC – NPI #1437621646
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

JOANNE BURGIO PHD LLC is an AHC clinic located in MERIDIAN, ID. NPPES has assigned the NPI number 1437621646 to JOANNE BURGIO PHD LLC on December 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 2 years ago on Mar 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOANNE BURGIO PHD LLC below.

NPI Profile for
JOANNE BURGIO PHD LLC

NPI Number
1437621646
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOANNE BURGIO PHD LLC
Primary location
943 W OVERLAND RD
MERIDIAN, ID 83642-6541
Phone: (208) 519-9102 Fax: (208) 550-3483
1 Other location(s):
910 W Main St Ste 354
Boise, ID 83702-5740
Phone: (208) 519-9102
Fax: (208) 549-5032
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOANNE BURGIO
OWNER/PROVIDER
Phone: (208) 519-9102
Updated
Certification Date
Mar 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOANNE BURGIO PHD LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidID1396852083
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.