Pride Mental Health
NPI 1588199277 · Community/Behavioral Health Agency · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pride Mental Health is a Community/Behavioral Health Agency organization in Boise, ID (NPI 1588199277).
Provider details
- NPI number
- 1588199277
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dane Mullen, Owner/Operator(208) 322-2928
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Doing business as
- Pride Mental Health
Registry dates
- Enumerated
- 2017-05-01
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Pride Mental Health's NPI number?
- Pride Mental Health's National Provider Identifier (NPI) is 1588199277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pride Mental Health?
- Pride Mental Health is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pride Mental Health located?
- Pride Mental Health's practice location on file with NPPES is 9488 W Fairview Ave, Boise, ID 83704-8101.
- What is Pride Mental Health's phone number?
- The practice phone number listed in the NPPES registry for Pride Mental Health is (208) 322-2929.
- Does Pride Mental Health accept Medicare?
- Pride Mental Health 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 Pride Mental Health?
- The authorized official listed on Pride Mental Health's NPPES record is Dane Mullen, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pride Mental Health's NPI active?
- Yes — Pride Mental Health's NPI (1588199277) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.