Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Human Supports of Idaho

Organization Psychiatry Physician · NPI 1922340124

Human Supports of Idaho provides Psychiatry Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
Specialties on file
3

Practice location Address checks out

4477 W Emerald St Ste C-100
Boise, ID 83706-2000
Phone: (208) 454-8389
Fax: (208) 454-8404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (ID)
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1922340124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alita Ruby — Administrateive Services Manager · (208) 454-8389
NPI enumeratedMarch 26, 2013
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing addressPo Box 820, Caldwell, ID 83606-0820

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