Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foothills Psychiatry and Addiction

Organization Psychiatry Physician · NPI 1023635018

Foothills Psychiatry and Addiction provides Psychiatry Physician services in Idaho Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

13734 S 1st E
Idaho Falls, ID 83404-7852
Phone: (208) 360-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1023635018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Martin — Psychiatric Nurse Practitioner · (208) 360-0288
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address13734 S 1st E, Idaho Falls, ID 83404-7852

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