Provider Type Icon

HUMAN SUPPORTS OF IDAHO INC NPI 1922340124


NPI Information

NPI: 1922340124
Provider Name: HUMAN SUPPORTS OF IDAHO, INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4477 W EMERALD ST
STE C-100
BOISE, ID
ZIP 83706
Phone: (208) 454-8389
Get Directions

HUMAN SUPPORTS OF IDAHO, INC is a psychiatry psychiatry neurology in Boise, ID. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. HUMAN SUPPORTS OF IDAHO, INC NPI is 1922340124. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4477 W EMERALD ST
STE C-100
BOISE, ID
ZIP 83706-000
Phone: (208) 454-8389
Fax: (208) 454-8404

The provider's authorized official is Alita Ruby .
The authorized official title is Administrateive Services Manager and has the following contact phone number (208) 454-8389.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 6/4/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
32084P0800XPsychiatry & NeurologyPsychiatryIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120002419OTHERIDAHOMEDICARE PTAN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.