P Praxis·MD
● Active Type 1 · Individual

Mikaela Overton

Psychologist·Boise, ID· NPI 1154920429 · Enumerated 2020 · 5 years on NPI
Overton is 1 of 50 psychologist providers in Boise and 1 of 196 in Idaho.
NPI age
5 years
Enumerated 2020-10-19
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 196 active psychologist providers in Idaho.

NPI age
5 years
↓ 9 yr below median (14 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Practice location
1075 E Park Blvd
Boise, ID 837127722
📞 2083815970fax 2083815971
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #6261175MI license #6352000475 taxonomy 103T00000X

Practice context

Part of a multi-provider practice. 33 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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