Organization · Type 2 NPI

Telemental Health Link LLC

Psychiatric/Mental Health Nurse Practitioner · Meridian, ID

NPI number 1437783529 Active

Practice location

4055 E Blueberry St
Meridian, ID 83642-8261

Call (208) 775-7418 Map

Fax (208) 647-5008

Other practice locations

10173 Trailridge Dr, Shreveport, LA 71106-7651 · (208) 600-2060
5700 Harper Dr NE Ste 210, Albuquerque, NM 87109-3541 · (866) 589-1753

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Another provider at this address

Susan M. Derivas, CNPPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1851493829

Other psychiatric/mental health nurse practitioner providers in Meridian

See all in Meridian →

NPI record

NPI: 1437783529
Entity type: Organization (Type 2)
Issued: Feb 27, 2020
Last updated: Feb 7, 2024
Status: Active
Subpart: Yes of Psychiatric Nurse Practitioner Services LLC

Other names

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Telemental Health Link - NM · doing business as
Psychiatric Nurse Practitioner Services LLC · former legal business name

Authorized official

Susan M Derivas, PMHNP-BC
Ao
(208) 775-7418

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437783529

Telemental Health Link LLC's National Provider Identifier is 1437783529, issued on Feb 27, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Feb 7, 2024.