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PSYCHIATRY 121 PLLC
NPI 1366206252
Nurse Practitioner - Psychiatric/Mental Health in Boise, ID

Active since February 12, 2024
1010 W HAYS ST, BOISE, ID 83702(949) 281-9132 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Psychiatry 121 Pllc NPPES

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

PSYCHIATRY 121 PLLC (NPI 1366206252) is a healthcare organization registered as a psychiatric/mental health in Boise, Idaho and active in the NPI registry since February 2024. The organization lists Angela G Hernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1366206252
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHIATRY 121 PLLC
Location Address1010 W HAYS STBoise, ID 83702-5435
Mailing Address1010 W Hays StBoise, ID 83702-5435
Phone(949) 281-9132
Organization SubpartNo
Authorized OfficialAngela G HernandezManager · (949) 281-9132
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1366206252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1010 W HAYS 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

Other Providers at the Same Location NPPES 6

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

RESTORATIVE CONNECTIONS COUNSELING CENTER, LLC
Community/Behavioral Health
1010 W HAYS ST
BOISE, ID 83702
Ada County (805) 801-9806
SUSAN E DENNY M.S., C.HT.
Counselor
1010 W HAYS ST
BOISE, ID 83702
Ada County (208) 546-1225
MRS. MARIELLA ELLE GOTZ PH.D., LPC, ATR-BC
Psychologist
1010 W HAYS ST
BOISE, ID 83702
Ada County (208) 284-5273
JANELLE JOHNSON-YAVRUIAN LCSW
Social Worker (Clinical)
1010 W HAYS ST
BOISE, ID 83702
Ada County (208) 600-2285
MARIELLA L. HOGAN, PH.D., ATR-BC, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1010 W HAYS ST
BOISE, ID 83702
Ada County (208) 284-5273
RACHEL BRIGGS GUTIERREZ LCPC-6300
Counselor (Mental Health)
1010 W HAYS ST
BOISE, ID 83702
Ada County (208) 297-8464

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 Psychiatry 121 PLLC's NPI number?

The NPI number for Psychiatry 121 PLLC is 1366206252. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Psychiatry 121 PLLC located?

Psychiatry 121 PLLC is located at 1010 W Hays St, Boise, ID 83702. The listed phone number is (949) 281-9132.

What is Psychiatry 121 PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Psychiatry 121 PLLC was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.