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

The Undiscovered Self, PC

Organization Psychologist · NPI 1487514212

The Undiscovered Self, PC is a Psychologist in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1015 W Hays St Ste 205
Boise, ID 83702-5412
Phone: (310) 500-6862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1487514212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Beradino — Psychologist · (310) 500-6862
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address1312 E Warm Springs Ave, Boise, ID 83712-8025

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