MANUEL SIERRA M.D. NPI 1861467375

NPI Information

  • NPI: 1861467375
  • Provider Name: MANUEL SIERRA, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1740 E 17TH ST
    SUITE A
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 346-7500

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NPI Details

Manuel Sierra, M.D. is a child and adolescent psychiatry psychiatry neurology in Idaho Falls, ID with 24 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Manuel Sierra, M.D. NPI is 1861467375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1740 E 17TH ST
SUITE A
IDAHO FALLS, ID
ZIP 83404-375
Phone: (208) 346-7500

The NPI 1861467375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 2/19/2006 and was last updated on 5/28/2009.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry227980MASSACHUSETTSNo
22084P0800XPsychiatry & NeurologyPsychiatryA85395CALIFORNIANo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryM10460IDAHOYes

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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