NPI age
5 years
Enumerated 2021-01-26
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2026-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1311 E Central Dr
Meridian, ID 836427991
Mailing address
1311 E Central Dr
Meridian, ID 836427991
Authorized official
Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jennifer Adams, PHARM.D., ED.D. Pharmacist NPI 1356481691
- Israel Amanuel Dentist NPI 1912672312
- Allan Baker Dentist NPI 1518528108
- Mikaela Bayless Counselor NPI 1386521649
- Brian Bollwitt, D.M.D. Dentist NPI 1235547159
- Andrea Bornstein, DMD Dentist NPI 1700615853
- Jessica Bovee Counselor NPI 1891674156
- Zachary Brazell, MASTERS STUDENT Counselor NPI 1518846351
- Daniel Buerk Dentist NPI 1275376907
- Demitri Carahalios, PHYSICIAN ASSISTANT Physician Assistant NPI 1346973245
- Emily Chitwood Counselor NPI 1750260394
- Kevin Cleveland, PHARM.D. Pharmacist NPI 1811999592
- Collin Czajka, DMD Dentist NPI 1538846464
- Katherine Divine, D.D.S. Dentist NPI 1487093704
- Amanda Egland Counselor NPI 1609755255
- Kristine Esplin, FNP Nurse Practitioner NPI 1932090610
- Kole Fisher, DMD Student in an Organized Health Care Education/Training Program NPI 1073305256
- Peter Flipsen, SL-P(C) CCC-SLP Speech-Language Pathologist NPI 1275845679
- Casey Flowers Dentist NPI 1114681095
- Nancy Foss, CCC-SLP Speech-Language Pathologist NPI 1447571435
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PsychologistA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Integrated Mental Health
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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