HUMAN SUPPORTS OF IDAHO, INC (NPI# 1922340124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922340124 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORTS OF IDAHO, INC |
| Practice Address |
4477 W Emerald St Ste C-100 Boise ID 83706-2000 |
| Mailing Address |
Po Box 820 Caldwell ID 83606-0820 |
| Practice Telephone | 2084548389 |
| Practice Fax Number | 2084548404 |
| Mailing Telephone | 2084548389 |
| Mailing Fax Number | 2084548404 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | ALITA RUBY (ADMINISTRATEIVE SERVICES MANAGER) |
| Authorized Official Telephone | 2084548389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE PTAN | 20002419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972646511 | Human Supports of Idaho, Inc | Community/Behavioral Health | 314 Badiola St, Caldwell, ID 83605-4389 | 2007-02-14 |
| 1598145252 | Human Supports of Idaho, Inc | Community/Behavioral Health | 314 Badiola St, Caldwell, ID 83605-4389 | 2015-06-08 |
| Street Address |
4477 W EMERALD ST STE C-100 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902949548 | Human Supports of Idaho, Inc. | Community/Behavioral Health | 4477 W Emerald St, Suite C-100, Boise, ID 83706-2000 | 2007-02-14 |
| 1780039545 | Sheila Chapdelaine | Social Worker | 4477 W Emerald St, C-100, Boise, ID 83706-2000 | 2016-04-29 |
| 1841670635 | Clay S Tuck | Social Worker | 4477 W Emerald St, Boise, ID 83706-2000 | 2015-06-05 |
| 1679969976 | Michael Chippolla | Counselor | 4477 W Emerald St, Boise, ID 83706-2000 | 2015-04-13 |
| 1568887339 | Gregory Dickerson | Social Worker | 4477 W Emerald St, Suite C100, Boise, ID 83706-2000 | 2014-03-03 |
| 1831510320 | Brian Patrick Knight | Social Worker | 4477 W Emerald St, Suite C-100, Boise, ID 83706-2000 | 2013-12-30 |
| 1497185045 | Shannon Marie Kessler | Social Worker | 4477 W Emerald St, Suite C-100, Boise, ID 83706-2000 | 2013-11-18 |
| 1780970400 | Natalie France | Social Worker | 4477 W Emerald St, Boise, ID 83706-2000 | 2011-06-21 |
| 1538478862 | Rick Boyes | Counselor | 4477 W Emerald St, Suite C-110, Boise, ID 83706-2000 | 2010-10-05 |
| 1558404129 | Human Supports of Idaho, Inc. | Community/Behavioral Health | 4477 W Emerald St, Ste C-100, Boise, ID 83706-2000 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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 and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528488905 | Alison Joy Krause | Psychiatry & Neurology | 703 South Americana Blvd #150, Boise, ID 83702 | 2014-04-23 |
| 1750704425 | Rick Dale Turner | Psychiatry & Neurology | 3818 W Catalpa Dr, Boise, ID 83703-4265 | 2014-01-30 |
| 1477996932 | Emily Patricia Hutchison | Psychiatry & Neurology | 500 W Fort St Bldg T110, Boise, ID 83702-4501 | 2013-04-14 |
| 1730408717 | Kirsten Rose Aaland | Psychiatry & Neurology | 500 W Fort St Bldg 116, Boise, ID 83702-4501 | 2010-05-31 |
| 1649597055 | Alex Brent Wills | Psychiatry & Neurology | 950 W Bannock St Ste 1100, Boise, ID 83702-6140 | 2010-04-24 |
| 1174757140 | William Terry Gipson | Psychiatry & Neurology | 10455 Jay Rd, Boise, ID 83714-9775 | 2009-05-06 |
| 1023132420 | Eric A Simmons | Psychiatry & Neurology | 335 Allumbaugh St, Boise, ID 83704-9208 | 2007-03-19 |
| 1831261544 | William K Linson | Psychiatry & Neurology | 3445 E Boulder Heights Dr, Boise, ID 83712-8565 | 2006-11-15 |
| 1720170228 | John Robert Bates | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2006-09-29 |
| 1043206683 | Barbara J. Hagen | Psychiatry & Neurology | 413 Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2005-09-20 |
| 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.