INNERCEPT – NPI #1003086653
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

INNERCEPT is a community based residential treatment facility located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1003086653 to INNERCEPT on March 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on May 26, 2023. 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 INNERCEPT below.

NPI Profile for
INNERCEPT

NPI Number
1003086653
Enumeration Date

(more than 18 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
INNERCEPT
Primary location
1115 IRONWOOD DRIVE
SUITE A
COEUR D'ALENE, ID 83814-4936
Phone: (208) 665-7178 Fax: (208) 765-6972
Mailing address
12424 WILSHIRE BLVD SUITE 800
LOS ANGELES, CA 90025
Phone: (310) 457-6302 Fax: (310) 457-6318
Organization Subpart
Yes - INNERCEPT is subpart of another organization.
Authorized Official
JONATHAN MONROE
CFO
Phone: (951) 334-2233
Updated
Certification Date
May 26, 2023

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.

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (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.