JUDY N. LAM, PH.D., PLLC
NPI 1205066198
Psychologist - Clinical in Boise, ID

Q: What is Judy N. Lam, Ph.D., PLLC's NPI number?

The NPI number for Judy N. Lam, Ph.D., PLLC is 1205066198. It was assigned to this organization in the NPPES registry on July 26, 2009.

Q: What is Judy N. Lam, Ph.D., PLLC's specialty?

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

Active since July 26, 2009

2409 N 21ST ST, BOISE, ID 83702(208) 283-0628(208) 209-2388 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Judy N. Lam, Ph.d., Pllc NPPES

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

JUDY N. LAM, PH.D., PLLC (NPI 1205066198) is a healthcare organization registered as a clinical in Boise, Idaho and active in the NPI registry since July 2009. The organization lists Judy N. Lam, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1205066198

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJUDY N. LAM, PH.D., PLLC

Location Address2409 N 21ST STBoise, ID 83702-0508

Mailing Address2409 N 21st StBoise, ID 83702-0508 · (208) 283-0628 · Fax (208) 209-2388

Phone(208) 283-0628

Fax(208) 209-2388

Organization SubpartNo

Authorized OfficialJudy N. LamClinical Psychologist · (208) 283-0628

Enumeration DateJuly 26, 2009

Last NPPES UpdateJanuary 21, 2021

NPPES CertifiedJanuary 16, 2021

✔ NPI 1205066198 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 202366

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.

2409 N 21ST 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy N. Lam, Ph.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Judy N. Lam, Ph.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Judy Lam, PH.D.

Clinical Psychologist

NPI 1831131945

2409 N 21ST ST
Boise, ID 83702

(208) 283-0628

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Judy N. Lam, Ph.D., PLLC's NPI number?

The NPI number for Judy N. Lam, Ph.D., PLLC is 1205066198. It was assigned to this organization in the NPPES registry on July 26, 2009.

Where is Judy N. Lam, Ph.D., PLLC located?

Judy N. Lam, Ph.D., PLLC is located at 2409 N 21st St, Boise, ID 83702. The listed phone number is (208) 283-0628.

What is Judy N. Lam, Ph.D., PLLC's specialty?

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

Is Judy N. Lam, Ph.D., PLLC enrolled in Medicare?

Yes. Judy N. Lam, Ph.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Judy N. Lam, Ph.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Judy N. Lam, Ph.D., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Judy N. Lam, Ph.D., PLLC was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.