Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1518413053 Deactivated / Inactive NPI Male Practitioner

Brian R Ford , MS

Psychologist • Payette, ID

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brian Ford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2016
NPI Deactivation Date August 06, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Brian Ford, MS was a registered Psychologist practicing in Payette, ID. Throughout an active medical career spanning 5 years, Brian Ford provided care at the practice location at 515 N 16TH ST until profile deactivation on 2021-08-06.

Practice Location & Contact Primary Location

Practice Address

515 N 16th St

Payette, ID 836612774

Telephone 2086426416
Fax 2086422829
Associated Practice Facility / Clinic
🏢 Idahodhwbh Payettamhclinic Facility NPI 1558498097

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Payette, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Payette, ID (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kathy Ryals , RN

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1316218563

Registered Nurse

Penny Dunham , LCSW

Social Worker - Clinical

NPI 1588111041

Licensed Clinical Social Worker

Dena Baldwin

Social Worker

NPI 1609322148
Keri Bennett

Registered Nurse

NPI 1750836169

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 06, 2021

Record deactivated on August 06, 2021

NPI Profile Active August 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2016

Registered at 515 N 16TH ST, PAYETTE, ID 836612774 (Tel: 2086426416)

📍
Updated Business Mailing Address August 25, 2016

Registered at 515 N 16TH ST, PAYETTE, ID 836612774 (Tel: 2086426416)

👤
Provider Name / Credentials Updated August 25, 2016

Recorded as BRIAN FORD, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2016

Psychologist

🟢
Initial NPI Registration & Enumeration August 25, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Brian Ford. Be the first to share your experience!

Sign in to leave a review for Brian Ford

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518413053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2016
Last Update: August 25, 2016
Deactivation Date: August 06, 2021

Mailing Address

515 N 16th St

Payette, ID 836612774

Phone: 2086426416

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.