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

Clearwater Psychiatry PLLC

Organization Psychiatry Physician · NPI 1487318960

Clearwater Psychiatry PLLC is a Psychiatry Physician in Boise, 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

413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Phone: (208) 323-1125
Fax: (208) 323-9604
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1487318960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheri Peterson — Credentialing Specialist · (208) 954-5594
NPI enumeratedOctober 29, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address413 N Allumbaugh St Ste 101, Boise, ID 83704-9219

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