DR. CHERYL MADDALENA (NPI# 1164782983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164782983 |
| Entity Type | Individual |
| Full Name | DR. CHERYL MADDALENA |
| Credential | PSYD |
| Practice Address |
1412 W Washington St Boise ID 83702-5038 |
| Practice Telephone | 2084476835 |
| Mailing Telephone | 2084476835 |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY - 202518 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1412 W WASHINGTON ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480956 | Michele Jean Unsworth | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2006-06-03 |
| 1932340460 | Patricia L Debor | Counselor | 1412 W Washington St, Suite #10, Boise, ID 83702-5038 | 2009-03-12 |
| 1871782243 | Jean Marie Kuty | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2007-10-22 |
| 1730372129 | Peter D. Billings | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2007-08-20 |
| 1952503443 | Wiesia Domanska-miville | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2007-06-05 |
| 1043381403 | Cynthia Eorio Ellis | Counselor | 1412 W Washington St, Boise, ID 83702-5038 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A 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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813719 | Natasha Megan Quinn | Psychologist | 500 W Fort St Bldg 114, Boise, ID 83702-4501 | 2019-04-04 |
| 1164996468 | Stephanie Elizabeth Stacy | Psychologist | 500 W Fort St Bldg 23, Boise, ID 83702-4501 | 2019-01-20 |
| 1427534395 | Hanna S Thomas | Psychologist | 1200 N Liberty St, Boise, ID 83704-8742 | 2018-07-13 |
| 1912332446 | Quality Care Counseling Center Inc. | Psychologist | 2316 N. Cole Rd, Suite A, Boise, ID 83704 | 2013-09-03 |
| 1003086513 | Barbara Alison Minton | Psychologist | 1403 W Franklin St, Boise, ID 83702-5024 | 2008-03-11 |
| 1295881480 | Neal Boliou | Psychologist | 1327 S Five Mile Rd, Boise, ID 83709-1306 | 2007-01-28 |
| 1871669861 | Larkin Elizabeth Magel | Psychologist | 311 N Allumbaugh St, Boise, ID 83702 | 2006-11-28 |
| 1992801856 | Carol J Fosdiek | Psychologist | 421 S Curtis Rd, #103, Boise, ID 83705 | 2006-09-16 |
| 1750491031 | Carole Janice Carter | Psychologist | 1674 Hill Road, Ste 12 Carter Counseling, Boise, ID 83702 | 2006-08-30 |
| 1245269844 | James Russell Bruce | Psychologist | 1120 N Garden St, Boise, ID 83706-2310 | 2006-07-03 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.