P Praxis·MD
● Active Type 2 · Organization

Idaho Youth Ranch

Clinic/Center·Boise, ID· NPI 1952738262 · Enumerated 2013 · 12 years on NPI
Idaho Youth Ranch is 1 of 37 clinic/center organizations in Idaho.
NPI age
12 years
Enumerated 2013-10-01
Primary specialty
Clinic/Center
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thomas
Cfo
Last NPPES update
2023-04-06
Source: monthly bulk 2026-05

How this organization compares

Across 37 active clinic/center providers in Idaho.

NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
4
In the 37% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
5465 W Irving St
Boise, ID 837061213
📞 2083772613
Mailing address
5465 W Irving St
Boise, ID 837061213

Authorized official

Kimberly Thomas, CPA
Cfo
📞 2083772613

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    taxonomy 261QM0855X
  • Psychiatric Residential Treatment Facility
    A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and...
    taxonomy 323P00000X
  • Residential Treatment Facility, Emotionally Disturbed Children
    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
    taxonomy 322D00000X
  • Respite Care
    A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
    taxonomy 385HR2055X
  • Substance Abuse Rehabilitation Facility
    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
    taxonomy 324500000X

Practice context

Single-site organization. Only one practice location on file.

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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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