NPI age
19 years
Enumerated 2006-05-28
● Active
Type 1 · Individual
Kathleen McCann Deidrick, PHD
Deidrick is 1 of 97 psychologist providers in Boise and 1 of 235 in Idaho.
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-02-21
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
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
100 E Idaho St, Ste 200
Boise, ID 837126267
Mailing address
190 E Bannock St
Boise, ID 837126241
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 740169 | HEALTHLINK |
| 01 (MO) | 205814 | BLUE SHIELD/BLUE CHOICE |
| 05 (MO) | 491287009 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.
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