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

Mary Goodspeed, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053069047

Mary Goodspeed, PMHNP is a Nurse Practitioner in Boise, Idaho. Graduated from University of South Alabama College of Medicine in 2021, 5 years ago. Practices with Community Health Clinics Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Trained at
University of South Alabama College of Medicine
Licensed in
ID
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

300 S 23rd St
Boise, ID 83702-9100
Phone: (208) 344-3512
Fax: (208) 466-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 72002 (ID)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 72002 (ID)

Record details

NPI number1053069047
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 17, 2022
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Community Health Clinics Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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