DR. J. MICHAEL DENNIS


Address: 311 N. Allumbaugh St., Boise, ID 83704
Phone: 2083756402

DR. J. MICHAEL DENNIS (NPI# 1326084492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326084492
Entity Type Individual
Full Name DR. J. MICHAEL DENNIS
Credential PHD
Practice Address 311 N. Allumbaugh St.
Boise
ID 83704
Practice Telephone 2083756402
Practice Fax Number 2083231850
Mailing Telephone 2083756402
Mailing Fax Number 2083231850
Enumeration Date 2006-06-20
Last Update Date 2007-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY371 ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
REGENCE BLUE SHIELD 000010008943 01
ID BLUE CROSS OF IDAHO N4809 01

Office Location

Street Address 311 N. ALLUMBAUGH ST.
City BOISE
State ID
Zip Code 83704

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1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
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1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

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.

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