LIFESTANCE HEALTH - IDAHO, PC DBA LIFESTANCE HEALTH - NPI 1407787336

Q: What is Lifestance Health - Idaho, PC Dba Lifestance Health's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

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About Lifestance Health - Idaho, Pc Dba Lifestance Health NPPES

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

LIFESTANCE HEALTH - IDAHO, PC DBA LIFESTANCE HEALTH (NPI 1407787336) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Boise, Idaho and active in the NPI registry since May 2026. The organization lists Ryan Pardo, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1407787336

Entity TypeOrganization

Primary Taxonomy2084B0040X

Legal Business NameLIFESTANCE HEALTH - IDAHO, PC DBA LIFESTANCE HEALTH

Location Address950 W BANNOCK ST STE 1100Boise, ID 83702-6140

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(253) 346-0399

Organization SubpartNo

Authorized OfficialRyan PardoChief Legal Officer · (425) 279-8500

Enumeration DateMay 28, 2026

NPPES CertifiedMay 19, 2026

✔ NPI 1407787336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084B0040X

Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

950 W BANNOCK ST STE 1100, Boise, ID 83702

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ABS HOSPICE CARE INC

Hospice Care, Community Based

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (208) 296-6336

PRIME PROVIDERS ID LLC

In Home Supportive Care

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (208) 900-6330

MARGARET E JOHNSON MSN, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (833) 351-8255

PERMA MENTAL HEALTH PLLC

Psychiatry & Neurology (Psychiatry)

950 W BANNOCK ST STE 1100, STE. 1100
BOISE, ID 83702

Ada County (208) 996-1700

HAVEN EEOI HOLDINGS LLC

Home Health

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (888) 891-0786

MRS. BREANNA MARIE ZOLD MAC

Counselor (Mental Health)

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (323) 205-7088

DAVID E. NILSSON, PH.D., P.C.

Clinical Neuropsychologist

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (208) 947-5368

EVERNORTH CARE PROVIDERS - ARIZONA PC

General Practice

950 W BANNOCK ST STE 1100
BOISE, ID 83702

Ada County (773) 292-4800

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 Lifestance Health - Idaho, PC Dba Lifestance Health's NPI number?

The NPI number for Lifestance Health - Idaho, PC Dba Lifestance Health is 1407787336. It was assigned to this organization in the NPPES registry on May 28, 2026.

Where is Lifestance Health - Idaho, PC Dba Lifestance Health located?

Lifestance Health - Idaho, PC Dba Lifestance Health is located at 950 W Bannock St Ste 1100, Boise, ID 83702. The listed phone number is (253) 346-0399.

What is Lifestance Health - Idaho, PC Dba Lifestance Health's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

When was this NPI record last updated?

The NPPES record for Lifestance Health - Idaho, PC Dba Lifestance Health was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.