IndividualActive
Dean Shandy, D.O.
NPI 1356786198 · Child & Adolescent Psychiatry Physician · Blackfoot, ID
Provider details
- NPI number
- 1356786198
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O-1419 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
98 Poplar St
Blackfoot, ID 83221-1799
Phone: (208) 782-2991
Fax: (208) 785-3876
Approximate (ZIP-level) locationGet directions
Mailing address
98 Poplar St
Blackfoot, ID 83221-1799
Additional practice locations (1)
- 1975 Martha Ave Ste aIdaho Falls, ID 83404-7580Phone: (208) 782-2991Fax: (208) 785-3876
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.