Kelly Petrino, PSY.D
NPI 1861784068 · Clinical Psychologist · Boise, ID
Kelly Petrino, PSY.D is a Clinical Psychologist provider in Boise, ID (NPI 1861784068).
Provider details
- NPI number
- 1861784068
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Female
- Sole proprietor
- No
- License
- 18071 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 334 E Broadway StMissoula, MT 59802-4618Phone: (406) 880-5568
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Frequently asked questions
- What is Kelly Petrino's NPI number?
- Kelly Petrino's National Provider Identifier (NPI) is 1861784068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Petrino's specialty?
- Kelly Petrino is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelly Petrino located?
- Kelly Petrino's practice location on file with NPPES is 3350 W Americana Ter Ste 210, Boise, ID 83706-2546.
- What is Kelly Petrino's phone number?
- The practice phone number listed in the NPPES registry for Kelly Petrino is (406) 880-5568.
- Is Kelly Petrino's NPI active?
- Yes — Kelly Petrino's NPI (1861784068) is active in the NPPES registry as of the last update on 2022-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.