OrganizationActive
Kayne Kishiyama MD PA
NPI 1457518110 · Psychiatry Physician · Idaho Falls, ID
Provider details
- NPI number
- 1457518110
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kayne Kishiyama, Owner(208) 552-0920
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1522 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 552-0920
Fax: (208) 529-2564
Street-level locationGet directions
Mailing address
1522 Elk Creek Dr
Idaho Falls, ID 83404-8322
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.