P Praxis·MD
● Active Type 2 · Organization

Human Supports Of Idaho

Psychiatry & Neurology·Boise, ID· NPI 1922340124 · Enumerated 2013 · 13 years on NPI
Human Supports Of Idaho is 1 of 245 psychiatry & neurology organizations in Idaho.
NPI age
13 years
Enumerated 2013-03-26
Primary specialty
Psychiatry & Neurology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ruby
Administrateive Services Manager
Last NPPES update
2022-10-13
Source: monthly bulk 2026-05

How this organization compares

Across 245 active psychiatry & neurology providers in Idaho.

NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 34% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-03Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
4477 W Emerald St, Ste C-100
Boise, ID 837062000
📞 2084548389fax 2084548404
Mailing address
Po Box 820
Caldwell, ID 836060820
📞 2084548389fax 2084548404

Authorized official

Alita Ruby
Administrateive Services Manager
📞 2084548389

Individual providers at this organization

11 individual providers on file at this primary practice address.

Specialties

  • Psychiatry & Neurology Primary
    A 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...
    taxonomy 2084P0800X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) 20002419 MEDICARE PTAN

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

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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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