● Active Type 1 · Individual

Donraphael Wynn, M.D.

Psychiatry & Neurology·Boise, ID· NPI 1396188751 · Enumerated 2013 · 13 years on NPI

Wynn is 1 of 29 psychiatry & neurology providers in Boise and 1 of 85 in Idaho.

NPI age

13 years

Enumerated 2013-04-16

Primary specialty

Psychiatry & Neurology

Plus 2 subspecialties

Licensed in

ID, UT

2 states

Status

Active

No deactivations on record

Last NPPES update

2025-11-13

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 85 active psychiatry & neurology providers in Idaho.

NPI age

13 years

↓ 5 yr below median (18 yr)

State licenses

2 states

Top 69% — 30% of peers are multi-state

Subspecialties

In the 41% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES

2013 2026

Where they practice

Practice location

1072 N Liberty St, Ste 303

Boise, ID 83704

📞 2083024200fax 2083024255

Mailing address

3340 E Goldstone Way

Meridian, ID 83642

📞 2083024200fax 2083024255

Specialties

Allopathic & Osteopathic Physicians › Psychiatry & Neurology

Psychiatry & Neurology Primary

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

ID license #M-14403 taxonomy 2084N0400X
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...

UT license #9164199-1205 taxonomy 207W00000X
Ophthalmology

A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems...

UT license #9164199-1205 taxonomy 207WX0109X

Practice context

Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.

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How to verify this provider

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