Mental Health Clinic of Idaho PLLC
NPI 1215622048 · Psychiatry Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mental Health Clinic of Idaho PLLC is a Psychiatry Physician organization in Boise, ID (NPI 1215622048).
Provider details
- NPI number
- 1215622048
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sami Phuyal, Provider/Owner(979) 332-4184
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-07
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Frequently asked questions
- What is Mental Health Clinic of Idaho PLLC's NPI number?
- Mental Health Clinic of Idaho PLLC's National Provider Identifier (NPI) is 1215622048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mental Health Clinic of Idaho PLLC?
- Mental Health Clinic of Idaho PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mental Health Clinic of Idaho PLLC located?
- Mental Health Clinic of Idaho PLLC's practice location on file with NPPES is 6737 E Deer Ridge St, Boise, ID 83716-7147.
- What is Mental Health Clinic of Idaho PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mental Health Clinic of Idaho PLLC is (979) 332-4184.
- Does Mental Health Clinic of Idaho PLLC accept Medicare?
- Mental Health Clinic of Idaho PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mental Health Clinic of Idaho PLLC?
- The authorized official listed on Mental Health Clinic of Idaho PLLC's NPPES record is Sami Phuyal, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mental Health Clinic of Idaho PLLC's NPI active?
- Yes — Mental Health Clinic of Idaho PLLC's NPI (1215622048) is active in the NPPES registry as of the last update on 2023-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.