Id Behavioral Health, PLLC
NPI 1548145162ActiveOrganization· Physician Assistant· Idaho Falls, ID
Physician Assistant in Idaho Falls, Idaho, registered in NPPES in August 2025. The authorized official on file is Tyler Jordan Pond, PA-C, Owner/Clinician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548145162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2025 |
| Last updated in NPPES | Feb 3, 2026 |
| Certified by provider | Feb 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Physician Assistant providers in Idaho Falls
- 1720312242
- 1265635346
- 1437495041
- 1477750032
- 1891188348
- 1669543450
- 1548594062
- 1386699833
- 1093281016
- 1891048633
- 1851935662
- 1295544344