MENTAL HEALTH CLINIC OF IDAHO PLLC
NPI 1215622048
Psychiatry & Neurology - Psychiatry in Boise, ID
About Mental Health Clinic Of Idaho Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENTAL HEALTH CLINIC OF IDAHO PLLC (NPI 1215622048) is a healthcare organization registered as a psychiatry in Boise, Idaho and active in the NPI registry since April 2023. The organization lists Sami Phuyal, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mental Health Clinic Of Idaho Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mental Health Clinic Of Idaho PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Mental Health Clinic Of Idaho PLLC's NPI number?
The NPI number for Mental Health Clinic Of Idaho PLLC is 1215622048. It was assigned to this organization in the NPPES registry on April 7, 2023.
Where is Mental Health Clinic Of Idaho PLLC located?
Mental Health Clinic Of Idaho PLLC is located at 6737 E Deer Ridge St, Boise, ID 83716. The listed phone number is (979) 332-4184.
What is Mental Health Clinic Of Idaho PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mental Health Clinic Of Idaho PLLC enrolled in Medicare?
Yes. Mental Health Clinic Of Idaho PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mental Health Clinic Of Idaho PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mental Health Clinic Of Idaho 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mental Health Clinic Of Idaho PLLC accept?
Health plans from Molina Healthcare list Mental Health Clinic Of Idaho PLLC 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 Mental Health Clinic Of Idaho PLLC was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mental Health Clinic Of Idaho Pllc · NPI 1215622048
Psychiatry organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since April 7, 2023.
## Identity
- **NPI:** 1215622048 (Entity type: Organization)
- **Enumerated:** April 7, 2023
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Sami Phuyal, PROVIDER/OWNER
## Practice location
- **Address:** 6737 E DEER RIDGE ST, Boise, ID 83716-7147
- **Phone:** (979) 332-4184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2023
- **Other identifiers:** Other 1760157598 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1215622048) · Data from the CMS NPPES public registry.