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

Mental Health Clinic of Idaho PLLC

Organization Psychiatry Physician · NPI 1215622048

Mental Health Clinic of Idaho PLLC provides Psychiatry Physician services in Boise, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6737 E Deer Ridge St
Boise, ID 83716-7147
Phone: (979) 332-4184
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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 number1215622048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sami Phuyal — Provider/Owner · (979) 332-4184
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address6737 E Deer Ridge St, Boise, ID 83716-7147

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