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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IDAHO PSYCHOLOGICAL RESOURCES LLC
NPI 1063918464
Community/Behavioral Health in Mackay, ID

Active since April 04, 2018
4433 BEVERLAND ROAD, MACKAY, ID 83251(208) 588-5770(208) 588-2984 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2026, Aug 11, 2026, Jul 6, 2026 and 3 more (6 updates tracked since 2018).

About Idaho Psychological Resources Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO PSYCHOLOGICAL RESOURCES LLC (NPI 1063918464) is a healthcare organization registered as a community/behavioral health in Mackay, Idaho and active in the NPI registry since April 2018. The organization lists Alexis Smith, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1063918464
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameIDAHO PSYCHOLOGICAL RESOURCES LLC
Location Address4433 BEVERLAND ROADMackay, ID 83251
Mailing AddressPo Box 402Mackay, ID 83251-0402 · (208) 588-2770 · Fax (208) 588-2984
Phone(208) 588-5770
Fax(208) 588-2984
Organization SubpartNo
Authorized OfficialAlexis SmithAdminstrator · (208) 604-5193
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 22, 20266 updates tracked since enumeration
NPPES CertifiedAugust 22, 2026
✔ NPI 1063918464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4433 BEVERLAND ROAD, Mackay, ID 83251
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFERSON H KRACZEK LCSW
Social Worker (Clinical)
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-2770
VALLEY VISTA CARE CORPORATION
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Psychological Resources LLC's NPI number?

The NPI number for Idaho Psychological Resources LLC is 1063918464. It was assigned to this organization in the NPPES registry on April 4, 2018.

Where is Idaho Psychological Resources LLC located?

Idaho Psychological Resources LLC is located at 4433 Beverland Road, Mackay, ID 83251. The listed phone number is (208) 588-5770.

What is Idaho Psychological Resources LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Idaho Psychological Resources LLC was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.