P Praxis·MD
● Active Type 2 · Organization

Mariella L. Hogan, Ph.d., Atr-Bc, Pllc

Clinic/Center·Boise, ID· NPI 1699075838 · Enumerated 2010 · 15 years on NPI
Mariella L. Hogan, Ph.d., Atr-Bc, Pllc is 1 of 326 clinic/center organizations in Idaho.
NPI age
15 years
Enumerated 2010-10-21
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Hogan
Licensed Psychologist, Owner, Mgt
Last NPPES update
2019-06-11
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
15 years
↑ 10 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1010 W Hays St
Boise, ID 837025435
📞 2082845273fax 2083441982
Mailing address
1010 W Hays St
Boise, ID 837025435
📞 2082845273fax 2083441982

Additional practice locations

1 secondary location on file with NPPES.

Location 2
100 Main St, Suite 201
Boise, ID 837027360
📞 2082845273fax 2083622209

Authorized official

Mariella L. Hogan, PH.D.
Licensed Psychologist, Owner, Mgt
📞 2082845273

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #PSY-202270 taxonomy 261QM0801X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Hays Street Counseling
    Type code 3 recorded 2018-11-10

Practice context

Multi-provider organization. 4 individual providers on file at this primary address. Plus 1 secondary practice location.

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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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