P Praxis·MD
● Active Type 1 · Individual

DR. James Ryan Shackelford, MD

Psychiatry & Neurology·Boise, ID· NPI 1639217359 · Enumerated 2007 · 19 years on NPI
Shackelford is 1 of 97 psychiatry & neurology providers in Boise and 1 of 245 in Idaho.
NPI age
19 years
Enumerated 2007-02-02
Primary specialty
Psychiatry & Neurology
Plus 2 subspecialties
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 245 active psychiatry & neurology providers in Idaho.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
777 N Raymond St
Boise, ID 83704
📞 2085142500fax 2083752217
Mailing address
1525 S Owyhee St
Boise, ID 837056014
📞 2082973698fax 2085618051

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
211 16th Ave N
Nampa, ID 836874058
📞 2084674431
Location 3
211 16th Ave N
Nampa, ID 836874058
📞 2084674431

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    ID license #M-13301CA license #NONE taxonomy 2084P0800X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    CA license #NONE taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 161 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new psychiatry & neurology provider has been added in Boise in the last 180 days. See all →
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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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