NPI age
15 years
Enumerated 2011-05-05
● Active
Type 1 · Individual
DR. Kelly Petrino, PSY.D
Petrino is 1 of 97 psychologist providers in Boise and 1 of 235 in Idaho.
Primary specialty
Psychologist
Plus 2 subspecialties
Licensed in
ID, MT, WY
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-05-11
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
15 years
↓ 2 yr below median (17 yr)
State licenses
3 states
Top 82% — 17% of peers are multi-state
Subspecialties
2
In the 30% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-05Enumerated in NPPES
2011
2026
Where they practice
Practice location
3350 W Americana Ter Ste 210
Boise, ID 837062546
Mailing address
3883 S Como Ave
Meridian, ID 836421446
Additional practice locations
1 secondary location on file with NPPES.
Location 2
334 E Broadway St
Missoula, MT 598024618
Specialties
-
Psychologist PrimaryA 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...
-
CounselorDefinition to come...
-
PsychologistA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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