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Telemental Health Link LLC

Psychiatric/Mental Health Nurse Practitioner in Meridian, ID · enumerated 2020 · authorized official Susan Derivas, Ao.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437783529

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Registry record

Entity type Organization (Type 2)
Legal business name Telemental Health Link LLC
Other name <Unavail>
Parent organization Psychiatric Nurse Practitioner Services LLC
Practice address 4055 E Blueberry St, Meridian, ID, 83642
Fax (208) 647-5008
Enumeration date Feb 27, 2020
Last updated in NPPES Feb 7, 2024

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Susan Derivas
Title Ao

Other identifiers

Identifier Type State Issuer
396453OSMIND Other - CHANGE HEALTHCARE MASTER BILLING ID
58322 Other NM NURSING LICENSE
58322 Other NM NEW MEXICO APRN CNP LICENSE
020837 Medicaid ID -
13961493 Other - CAQH ID
64266 Other ID NURSING LICENSE
03962 Other LA NURSING LICENSE
1529234 Other - NCSBN ID
0364158 Other - ANCC CERTIFICATION NO.
363LP0808X Other LA TAXONOMIES: NURSE PRACTITIONER PSYCH MENTAL HEALTH
P69441 Other LA UPIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Telemental Health Link LLC?
Telemental Health Link LLC is registered in NPPES as a Psychiatric/Mental Health Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-07.