BORA BISIMWA NPI 1730035403

NPI Information

  • NPI: 1730035403
  • Provider Name: BORA BISIMWA
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 12667 GOFF ST
    CALDWELL, ID
    ZIP 83607
  • Phone: (520) 269-2213

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NPI Details

Bora Bisimwa is a health service psychologist in Caldwell, ID. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Bora Bisimwa NPI is 1730035403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12667 GOFF ST
CALDWELL, ID
ZIP 83607-845
Phone: (520) 269-2213

The enumeration date for this NPI number is 3/5/2026 and was last updated on 3/5/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth ServiceCFH-10146IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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