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

Jason Southwick, PHD

Individual provider Clinical Neuropsychologist · NPI 1538412382

Jason Southwick, PHD is a Clinical Psychologist in Boise, Idaho. Qualified in 2011, 15 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2121
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3597 E Monarch Sky Ln Ste 240, Meridian, ID 83646-1055 — (208) 391-7274

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY - 202728 (ID)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY - 202728 (ID)

Record details

NPI number1538412382
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boise