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

Human Supports of Idaho

Organization Psychiatry Physician · NPI 1922340124

Human Supports of Idaho is a Psychiatry Physician 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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