OrganizationActive
Whitewater Tms LLC
NPI 1750103263 · Child & Adolescent Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1750103263
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacqueline Bell, Owner(602) 803-2765
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
908 N Whitewater Park Blvd
Boise, ID 83703-5822
Phone: (208) 573-4387
Street-level locationGet directions
Mailing address
908 N Whitewater Park Blvd
Boise, ID 83703-5822
Registry dates
- Enumerated
- 2024-10-26
- Last updated
- 2024-10-26
- Certified
- 2024-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.