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

Autumn Leaves Psychiatry, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1396326096

Autumn Leaves Psychiatry, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, Idaho. Registered with an NPI since 2021.

In the registry since
2021
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

3670 S 25th E Ste 4
Idaho Falls, ID 83404-4956
Phone: (208) 821-0357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1396326096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merjurie Ricklefs — Psychiatric Nurse Practitioner · (208) 821-0357
NPI enumeratedApril 15, 2021
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address3670 S 25th E Ste 4, Idaho Falls, ID 83404-4956

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