IndividualActive
James Shackelford, MD
NPI 1639217359 · Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1639217359
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- NONE (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
777 N Raymond St
Boise, ID 83704
Phone: (208) 514-2500
Fax: (208) 375-2217
Approximate (ZIP-level) locationGet directions
Mailing address
1525 S Owyhee St
Boise, ID 83705-6014
Additional practice locations (2)
- 211 16th Ave NNampa, ID 83687-4058Phone: (208) 467-4431
- 211 16th Ave NNampa, ID 83687-4058Phone: (208) 467-4431
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.