P Praxis·MD
● Active Type 1 · Individual

MS. Joanna Elise Wiese

Psychologist·Mountain Home Afb, ID· NPI 1063711869 · Enumerated 2011 · 15 years on NPI
Wiese is 1 of 1 psychologist providers in Mountain Home Afb and 1 of 7 in Idaho.
NPI age
15 years
Enumerated 2011-03-18
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7 active psychologist providers in Idaho.

NPI age
15 years
≈ at median (14 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
42% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
📞 2088287581
Mailing address
9169 W State St Ste 725
Boise, ID 837141733
📞 2088287581

Specialties

  • Psychologist Primary
    A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology...
    ID license #203430 taxonomy 103TP0016X

Practice context

Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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