NPI age
19 years
Enumerated 2006-10-03
● Active
Type 1 · Individual
George Jackson Ullrich, MD
Ullrich is 1 of 18 psychiatry & neurology providers in Coeur D Alene and 1 of 245 in Idaho.
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
1115 Ironwood Drive
Coeur D Alene, ID 83814
Mailing address
Po Box 1356
Coeur D Alene, ID 83816
Specialties
-
Psychiatry & Neurology PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MT) | 22698 | MONTANA MEDICAID |
| 01 (ID) | 33852 | BLUE CROSS OF IDAHO |
| 01 | 000010000418 | BLUE CROSS BLUE SHIELD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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