AMANDA JACK
NPI 1386371235
Psychologist in Meridian, ID

Active since August 02, 2022
2463 E GALA ST, MERIDIAN, ID 83642(208) 955-7333 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Jack NPPES

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

AMANDA JACK (NPI 1386371235) is an individual psychologist in Meridian, Idaho and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1386371235
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAMANDA JACK
Location Address2463 E GALA STMeridian, ID 83642-5209
Mailing Address2067 W Hedgerow StKuna, ID 83634-3195 · (801) 473-5406
Sole ProprietorYes
Enumeration DateAugust 2, 2022
NPPES CertifiedJune 14, 2022
NPI 1386371235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2463 E GALA ST, Meridian, ID 83642

Other Providers at the Same Location NPPES 18

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

Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Occupational Therapist (Pediatrics)
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Occupational Therapist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist (Clinical)
2463 E GALA ST
MERIDIAN, ID 83642

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 Amanda Jack's NPI number?

The NPI number for Amanda Jack is 1386371235. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Amanda Jack located?

Amanda Jack practices at 2463 E Gala St, Meridian, ID 83642. The listed phone number is (208) 955-7333.

What is Amanda Jack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Jack was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.