The Undiscovered Self, PC
NPI 1487514212 · Psychologist · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Undiscovered Self, PC is a Psychologist organization in Boise, ID (NPI 1487514212).
Provider details
- NPI number
- 1487514212
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Beradino, Psychologist(310) 500-6862
Specialties & taxonomies
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
- 2025-11-14
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Frequently asked questions
- What is The Undiscovered Self, PC's NPI number?
- The Undiscovered Self, PC's National Provider Identifier (NPI) is 1487514212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Undiscovered Self, PC?
- The Undiscovered Self, PC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is The Undiscovered Self, PC located?
- The Undiscovered Self, PC's practice location on file with NPPES is 1015 W Hays St Ste 205, Boise, ID 83702-5412.
- What is The Undiscovered Self, PC's phone number?
- The practice phone number listed in the NPPES registry for The Undiscovered Self, PC is (310) 500-6862.
- Does The Undiscovered Self, PC accept Medicare?
- The Undiscovered Self, PC 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 The Undiscovered Self, PC?
- The authorized official listed on The Undiscovered Self, PC's NPPES record is John Beradino, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Undiscovered Self, PC's NPI active?
- Yes — The Undiscovered Self, PC's NPI (1487514212) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.