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

Idaho Neuropsychology, PLLC

Organization Clinical Neuropsychologist · NPI 1750257184

Idaho Neuropsychology, PLLC is a Clinical Neuropsychologist in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
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

1305 S Five Mile Rd
Boise, ID 83709-1306
Phone: (208) 789-0910
Fax: (208) 789-0916
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1750257184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Black — Owner/Ceo · (208) 207-8331
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address10400 W Overland Rd # 357, Boise, ID 83709-1433

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