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

Snake River Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1902771678

Snake River Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Caldwell, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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

13972 Trapper Ln
Caldwell, ID 83607-5481
Phone: (208) 906-4073
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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 number1902771678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Haggerty — Sole Member · (208) 906-4073
NPI enumeratedOctober 10, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address13972 Trapper Ln, Caldwell, ID 83607-5481

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