Clearwater Psychiatry PLLC
NPI 1487318960 · Psychiatry Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clearwater Psychiatry PLLC is a Psychiatry Physician organization in Boise, ID (NPI 1487318960).
Provider details
- NPI number
- 1487318960
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheri Peterson, Credentialing Specialist(208) 954-5594
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
4 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
- 2021-10-29
- Last updated
- 2021-10-29
- Certified
- 2021-10-29
Frequently asked questions
- What is Clearwater Psychiatry PLLC's NPI number?
- Clearwater Psychiatry PLLC's National Provider Identifier (NPI) is 1487318960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clearwater Psychiatry PLLC?
- Clearwater Psychiatry PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Clearwater Psychiatry PLLC located?
- Clearwater Psychiatry PLLC's practice location on file with NPPES is 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219.
- What is Clearwater Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Clearwater Psychiatry PLLC is (208) 323-1125.
- Does Clearwater Psychiatry PLLC accept Medicare?
- Clearwater Psychiatry 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 Clearwater Psychiatry PLLC?
- The authorized official listed on Clearwater Psychiatry PLLC's NPPES record is Cheri Peterson, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clearwater Psychiatry PLLC's NPI active?
- Yes — Clearwater Psychiatry PLLC's NPI (1487318960) is active in the NPPES registry as of the last update on 2021-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.