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

Tyler David Berreth

Individual provider Community/Behavioral Health Agency · NPI 1760304463

Tyler David Berreth is a Community/Behavioral Health Agency in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1276 W River St Ste 100 Boise ID 83702
Boise, ID 83704-5083
Phone: (208) 338-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1760304463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 9, 2026
Mailing address1276 W. River St. Ste 100 Boise, Id 83702, Boise, ID 83704-5083

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