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

Mental Health Clinic of Idaho PLLC

Organization Psychiatry Physician · NPI 1215622048

Mental Health Clinic of Idaho PLLC is a Psychiatry Physician in Boise, Idaho. Registered with an NPI since 2023.

In the registry since
2023
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

6737 E Deer Ridge St
Boise, ID 83716-7147
Phone: (979) 332-4184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1215622048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sami Phuyal — Provider/Owner · (979) 332-4184
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address6737 E Deer Ridge St, Boise, ID 83716-7147

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