DR. JOSEPH AL LIPETZKY (NPI# 1467440065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467440065 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH AL LIPETZKY |
| Credential | PSY. D. |
| Practice Address |
1755 N Westgate Dr Ste 260 Boise ID 83704-7176 |
| Mailing Address |
1755 Westgate Dr Suite 260 Boise ID 83704-7176 |
| Practice Telephone | 2083730790 |
| Practice Fax Number | 2083730816 |
| Mailing Telephone | 2083730790 |
| Mailing Fax Number | 2083730816 |
| Enumeration Date | 2005-10-09 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 338 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 00010016100 | 01 |
| ID | BLUE CROSS | N5509 | 01 |
| Street Address |
1755 N WESTGATE DR STE 260 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043404064 | Heidi Rachelle Tennyson | Psychologist | 1755 N Westgate Dr Ste 260, Boise, ID 83704-7176 | 2007-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 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 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164723 | Krystal Anne Wood | Psychologist | 605 E Holly St Apt 206, Boise, ID 83712-7882 | 2020-04-27 |
| 1467994616 | Heather Eskridge Hoyt Phd LLC | Psychologist | 671 E Riverpark Lane Ste 220, Boise, ID 83706-6559 | 2016-11-04 |
| 1144771338 | Heather E Hoyt | Psychologist | 671 E Riverpark Ln, Suite 220, Boise, ID 83706-6559 | 2016-10-22 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1518102797 | Northwest Neurobehavioral Health Pllc | Psychologist | 6003 Overland Rd Ste 301, Boise, ID 83709-3077 | 2008-12-02 |
| 1225222433 | Ronald B Tye | Psychologist | 6003 Overland Rd, Suite 301, Boise, ID 83709-3073 | 2007-08-30 |
| 1174716005 | Keith Lee Williams | Psychologist | 3771 N Eagle Rd, Boise, ID 83713-5005 | 2007-08-23 |
| 1982738563 | Michael Loren Hillam | Psychologist | 4696 W Overland Rd Ste 156, Boise, ID 83705-2878 | 2007-03-15 |
| 1629107321 | Center for Christian Therapy, Inc. | Psychologist | 3631 W Overland Rd, Boise, ID 83705-6033 | 2007-03-06 |
| 1093844474 | Jay W. Webb, Ph.d., P.a. | Psychologist | 2304 N. Cole Rd., Suite B, Boise, ID 83704 | 2007-03-03 |
| 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.