P Praxis·MD
● Active Type 1 · Individual

Jason Southwick, PH.D.

Clinical Neuropsychologist·Boise, ID· NPI 1538412382 · Enumerated 2012 · 13 years on NPI
Southwick is 1 of 16 clinical neuropsychologist providers in Boise and 1 of 34 in Idaho.
NPI age
13 years
Enumerated 2012-10-17
Primary specialty
Clinical Neuropsychologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 34 active clinical neuropsychologist providers in Idaho.

NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Practice location
1055 N Curtis Rd
Boise, ID 837061309
📞 2083672121
Mailing address
Po Box 190930
Boise, ID 837190930
📞 0823672121fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3597 E Monarch Sky Ln Ste 240
Meridian, ID 836461055
📞 2083917274fax 2086291231

Specialties

  • Clinical Neuropsychologist Primary
    A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
    ID license #PSY - 202728 taxonomy 103G00000X
  • Psychologist
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    ID license #PSY - 202728 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 378 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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