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

Psychiatry 121 PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366206252

Psychiatry 121 PLLC is a Psychiatric/Mental Health Nurse Practitioner in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
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

1010 W Hays St
Boise, ID 83702-5435
Phone: (949) 281-9132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1366206252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Hernandez — Manager · (949) 281-9132
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 10, 2024
Mailing address1010 W Hays St, Boise, ID 83702-5435

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