P Praxis·MD
● Active Type 1 · Individual

Kelli Tillquist, PSYD

Psychologist·Boise, ID· NPI 1619539947 · Enumerated 2019 · 6 years on NPI
Tillquist is 1 of 97 psychologist providers in Boise and 1 of 235 in Idaho.
NPI age
6 years
Enumerated 2019-07-08
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
6 years
↓ 11 yr below median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
1529 W Belmont St
Boise, ID 837252336
📞 2084262987
Mailing address
Po Box 45056
Boise, ID 837115056
📞 2088591906

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
607 Division Street
Nome, AK 97762
📞 9074433344
Location 3
1306 Petree St Apt 410
El Cajon, CA 920202336
📞 2088591906
Location 4
6348 W Emerald St
Boise, ID 837048732
📞 2083020900fax 2083020955

Specialties

  • Psychologist Primary
    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 #203634ID license #PSY-203634 taxonomy 103TC0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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