OrganizationActive
Jcw Psychiatry PLLC
NPI 1861001687 · Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1861001687
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheri Peterson, Credentialer(208) 954-5594
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Phone: (208) 323-1125
Fax: (208) 323-9604
Approximate (ZIP-level) locationGet directions
Mailing address
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.