P Praxis·MD
● Active Type 1 · Individual

Jacob A Zimmerman, PH.D.

Psychologist·Boise, ID· NPI 1811693351 · Enumerated 2023 · 3 years on NPI
Zimmerman is 1 of 97 psychologist providers in Boise and 1 of 235 in Idaho.
NPI age
3 years
Enumerated 2023-02-06
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
3 years
↓ 14 yr below median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
1755 N Westgate Dr Ste 260
Boise, ID 837047176
📞 2083730790fax 2083730816
Mailing address
1755 N Westgate Dr Ste 260
Boise, ID 837047176
📞 2083730790fax 2083730816

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 #PSY203864MN license #LP6892 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 3 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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