P Praxis·MD
● Active Type 1 · Individual

DR. Stephanie Elizabeth Stacy

Psychologist·Boise, ID· NPI 1164996468 · Enumerated 2019 · 7 years on NPI
Stacy is 1 of 50 psychologist providers in Boise and 1 of 196 in Idaho.
NPI age
7 years
Enumerated 2019-01-20
Primary specialty
Psychologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-01-20
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
7 years
↓ 7 yr below median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Practice location
500 W Fort St Bldg 23
Boise, ID 837024501
📞 2084221000
Mailing address
1810 W Bannock St
Boise, ID 837025108
📞 7144251605

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,...
    taxonomy 103T00000X

Practice context

Solo or small practice. No 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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