P Praxis·MD
● Active Type 2 · Organization

Autumn Leaves Psychiatry, Pllc

Clinic/Center·Idaho Falls, ID· NPI 1396326096 · Enumerated 2021 · 5 years on NPI
Autumn Leaves Psychiatry, Pllc is 1 of 326 clinic/center organizations in Idaho.
NPI age
5 years
Enumerated 2021-04-15
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ricklefs
Psychiatric Nurse Practitioner
Last NPPES update
2021-05-06
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
0

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
3670 S 25th E Ste 4
Idaho Falls, ID 834044956
📞 2088210357
Mailing address
3670 S 25th E Ste 4
Idaho Falls, ID 834044956
📞 2088210357

Authorized official

Merjurie F Ricklefs, ARNP, PMHNP-BC
Psychiatric Nurse Practitioner
📞 2088210357

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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