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

Idaho State University

Organization Prescribing (Medical) Psychologist · NPI 1366033094

Idaho State University is a Prescribing (Medical) Psychologist in Meridian, Idaho. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

1311 E Central Dr
Meridian, ID 83642-7991
Phone: (208) 373-1979
Fax: (833) 499-1813
Show map & directions

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
Prescribing (Medical) Psychologist Taxonomy 103TP0016X
Ambulatory Care Pharmacist Taxonomy 1835P2201X

Record details

NPI number1366033094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Isu Integrated Mental Health
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address1311 E Central Dr, Meridian, ID 83642-7991