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SIDRAH KHAN PSYCHOTHERAPY PC
NPI 1114419678
Social Worker - Clinical in Boise, ID

Active since May 31, 2018
242 N 8TH ST, SUITE 200, BOISE, ID 83702(208) 447-9526 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sidrah Khan Psychotherapy Pc NPPES

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

SIDRAH KHAN PSYCHOTHERAPY PC (NPI 1114419678) is a healthcare organization registered as a clinical in Boise, Idaho and active in the NPI registry since May 2018. The organization lists Sidrah S Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1114419678
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSIDRAH KHAN PSYCHOTHERAPY PC
Location Address242 N 8TH ST, SUITE 200Boise, ID 83702
Mailing Address4714 N Nystrom PlBoise, ID 83713
Phone(208) 447-9526
Organization SubpartNo
Authorized OfficialSidrah S KhanOwner · (208) 447-9526
Enumeration DateMay 31, 2018
✔ NPI 1114419678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
242 N 8TH ST, Boise, ID 83702
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sidrah Khan Psychotherapy PC's NPI number?

The NPI number for Sidrah Khan Psychotherapy PC is 1114419678. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is Sidrah Khan Psychotherapy PC located?

Sidrah Khan Psychotherapy PC is located at 242 N 8th St Suite 200, Boise, ID 83702. The listed phone number is (208) 447-9526.

What is Sidrah Khan Psychotherapy PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Sidrah Khan Psychotherapy PC was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.