What is Mardi Stacy's NPI number?

Mardi Stacy's National Provider Identifier (NPI) is 1417025974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mardi Stacy's specialty?

Mardi Stacy is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Mardi Stacy located?

Mardi Stacy's practice location on file with NPPES is 1718 W Jefferson St, Boise, ID 83702-3949.

What is Mardi Stacy's phone number?

The practice phone number listed in the NPPES registry for Mardi Stacy is (208) 424-8130.

Is Mardi Stacy's NPI active?

Yes — Mardi Stacy's NPI (1417025974) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mardi Stacy, PH.D.

NPI 1417025974 · Clinical Psychologist · Boise, ID

Mardi Stacy, PH.D. is a Clinical Psychologist provider in Boise, ID (NPI 1417025974).

Provider details

NPI number: 1417025974
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Female
Sole proprietor: Yes
License: PSY-429 (ID)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense PSY-429 (ID)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1718 W Jefferson St

Boise, ID 83702-3949

Phone: (208) 424-8130

Fax: (208) 424-8137

Street-level locationGet directions

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Mailing address