Lifestance Health - Idaho, PC Dba Lifestance Health
NPI 1407787336 · Behavioral Neurology & Neuropsychiatry Physician · Boise, ID
Lifestance Health - Idaho, PC Dba Lifestance Health is a Behavioral Neurology & Neuropsychiatry Physician organization in Boise, ID (NPI 1407787336).
Provider details
- NPI number
- 1407787336
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Pardo, Chief Legal Officer(425) 279-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-05-28
- Last updated
- 2026-05-28
- Certified
- 2026-05-19
Frequently asked questions
- What is Lifestance Health - Idaho, PC Dba Lifestance Health's NPI number?
- Lifestance Health - Idaho, PC Dba Lifestance Health's National Provider Identifier (NPI) is 1407787336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifestance Health - Idaho, PC Dba Lifestance Health?
- Lifestance Health - Idaho, PC Dba Lifestance Health is classified in the NPPES registry as Behavioral Neurology & Neuropsychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Lifestance Health - Idaho, PC Dba Lifestance Health located?
- Lifestance Health - Idaho, PC Dba Lifestance Health's practice location on file with NPPES is 950 W Bannock St Ste 1100, Boise, ID 83702-6140.
- What is Lifestance Health - Idaho, PC Dba Lifestance Health's phone number?
- The practice phone number listed in the NPPES registry for Lifestance Health - Idaho, PC Dba Lifestance Health is (253) 346-0399.
- Who is the authorized official for Lifestance Health - Idaho, PC Dba Lifestance Health?
- The authorized official listed on Lifestance Health - Idaho, PC Dba Lifestance Health's NPPES record is Ryan Pardo, Chief Legal Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifestance Health - Idaho, PC Dba Lifestance Health's NPI active?
- Yes — Lifestance Health - Idaho, PC Dba Lifestance Health's NPI (1407787336) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.