JARED THOMAS JOHN PSY
NPI 1164300778
Psychologist - School in Idaho Falls, ID

Active since August 22, 2025PECOS Enrolled
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404(208) 419-3002(208) 656-5652 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jared Thomas John Psy NPPES

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

JARED THOMAS JOHN PSY (NPI 1164300778) is an individual school provider in Idaho Falls, Idaho, licensed in Idaho (PSY-9671673) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164300778
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameJARED THOMAS JOHNCredential: PSY
Location Address2001 S WOODRUFF AVE STE 9Idaho Falls, ID 83404-6371
Mailing Address2001 S Woodruff Ave Ste 9Idaho Falls, ID 83404-6371 · (208) 419-3002 · Fax (208) 656-5652
Fax(208) 656-5652
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2025
Last NPPES UpdateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1164300778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in ID · PSY-9671673
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
2001 S WOODRUFF AVE STE 9, Idaho Falls, ID 83404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jared Thomas John Psy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668969288
PECOS Enrollment IDI20251016001163
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Medical)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Counselor (Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Nurse Practitioner (Psychiatric/Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Physician Assistant
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Clinical Nurse Specialist (Psychiatric/Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Physician Assistant
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Psychologist
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404

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 Jared John's NPI number?

The NPI number for Jared John is 1164300778. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Jared John located?

Jared John practices at 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404. The listed phone number is (208) 419-3002.

What is Jared John's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Jared John enrolled in Medicare?

Yes. Jared John is registered in the Medicare PECOS enrollment system.

What insurance does Jared John accept?

Health plans from University of Utah Health Plans list Jared John as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared John was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.