DR. KELLI M BISHOP PSY.D.
NPI 1164542585
Psychologist - Clinical in Idaho Falls, ID

Q: What is Kelli Bishop's NPI number?

The NPI number for Kelli Bishop is 1164542585. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Kelli Bishop's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Bishop was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 30, 2007

111 E 16TH ST, IDAHO FALLS, ID 83404(208) 523-1130 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelli M Bishop Psy.d. NPPES

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

DR. KELLI M BISHOP PSY.D. (NPI 1164542585) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (PSY-202640) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1164542585

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLI M BISHOPCredential: PSY.D.

Location Address111 E 16TH STIdaho Falls, ID 83404-5919

Mailing Address4255 Wade Green Rd Nw, Ste 414Kennesaw, GA 30144-1763 · (678) 213-2194 · Fax (678) 922-7767

Phone(208) 523-1130

Sole ProprietorNo

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 25, 2016

✔ NPI 1164542585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in ID · PSY-202640

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

111 E 16TH ST, Idaho Falls, ID 83404

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Other Providers at the Same Location NPPES 9

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

INNOVATIVE HEALTH CARE CONCEPTS, INC.

Community/Behavioral Health

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

MAKAILA JANE THORMAHLEN

Peer Specialist

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

AMBER STEMPIEN LPC

Counselor (Mental Health)

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

INNOVATIVE HEALTH CARE CONCEPTS, INC

Clinic/Center (Multi-Specialty)

111 E 16TH ST, IDAHO FALLS
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

ZACHARY LEON TAYLOR

Case Manager/Care Coordinator

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

JERRILYNNE WOOD LCPC-4457

Counselor (Mental Health)

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 552-2109

DR. LAVONNA D PATTERSON PHD

Psychologist

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

DR. DARLA JANE FARADAY PH.D.

Psychologist

111 E 16TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 523-1130

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 Kelli Bishop's NPI number?

The NPI number for Kelli Bishop is 1164542585. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Kelli Bishop located?

Kelli Bishop practices at 111 E 16th St, Idaho Falls, ID 83404. The listed phone number is (208) 523-1130.

What is Kelli Bishop's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelli Bishop was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.