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

Psychiatric Associates Services PLLC

Organization Physician Assistant · NPI 1053074302

Psychiatric Associates Services PLLC is a Physician Assistant in Nampa, Idaho. Works from 3 locations. 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

1019 W Sanetta St
Nampa, ID 83651-5047
Phone: (208) 917-1842
Fax: (208) 549-7017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4615 W Emerald St, Boise, ID 83706-2002 — (208) 917-1842
  • 1044 Northwest Blvd, Coeur D Alene, ID 83814-2114 — (208) 917-1842

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053074302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Short — Member · (082) 912-4416
NPI enumeratedOctober 14, 2021
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address1775 W State St # 383, Boise, ID 83702-3924

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