P Praxis·MD
● Active Type 2 · Organization

The Undiscovered Self, Pc

Psychologist·Boise, ID· NPI 1487514212 · Enumerated 2025 · 0 years on NPI
The Undiscovered Self, Pc is 1 of 196 psychologist organizations in Idaho.
NPI age
— years
Enumerated 2025-11-14
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Beradino
Psychologist
Last NPPES update
2025-11-14
Source: monthly bulk 2026-05

How this organization compares

Across 196 active psychologist providers in Idaho.

NPI age
0 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-11Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
1015 W Hays St Ste 205
Boise, ID 837025412
📞 3105006862
Mailing address
1312 E Warm Springs Ave
Boise, ID 837128025
📞 3105006862

Authorized official

John Anthony Beradino, PHD
Psychologist
📞 3105006862

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

Single-site organization. Only one practice location on file.

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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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