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NPI 1053074302
● Active Type 2 · Organization
Psychiatric Associates Services Pllc
Physician Assistant · Nampa, ID · NPI 1053074302
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Enumerated 2021 · 4 years on NPI
Psychiatric Associates Services Pllc is 1 of 1263 physician assistant organizations in Idaho.
NPI age
4 years
Enumerated 2021-10-14
Primary specialty
Physician Assistant
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Short
Member
Last NPPES update
2023-09-28
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
4 years
↓ 5 yr below median
Practice locations
3
2 secondary on file
NPI lifetime · 2021 → 2026
2021-10 Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1019 W Sanetta St
Nampa, ID 836515047
📞 2089171842 fax 2085497017
Mailing address
1775 W State St # 383
Boise, ID 837023924
📞 2089124416 fax 2085495832
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
4615 W Emerald St
Boise, ID 837062002
📞 2089171842 fax 2085497017
Location 3
1044 Northwest Blvd
Coeur D Alene, ID 838142114
📞 2089171842 fax 2085497017
Authorized official
William Short, PA
Member
📞 0829124416
Individual providers at this organization
2 individual providers on file at this primary practice address.
Specialties
Physician Assistant
Primary
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
taxonomy 363A00000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 2 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.