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DR. MARDI STACY PH.D.
NPI 1417025974
Psychologist - Clinical in Boise, ID

Active since December 01, 2006
1718 W JEFFERSON ST, BOISE, ID 83702(208) 424-8130(208) 424-8137 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mardi Stacy Ph.d. NPPES

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

DR. MARDI STACY PH.D. (NPI 1417025974) is an individual clinical provider in Boise, Idaho, licensed in Idaho (PSY-429) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1417025974
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARDI STACYCredential: PH.D.
Location Address1718 W JEFFERSON STBoise, ID 83702-3949
Mailing Address1718 W Jefferson StBoise, ID 83702-3949 · (208) 424-8130 · Fax (208) 424-8137
Phone(208) 424-8130
Fax(208) 424-8137
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417025974 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-429
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.
1718 W JEFFERSON ST, Boise, ID 83702
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Other Providers at the Same Location NPPES 2

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

RENEE O. BILD, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1718 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 336-3031
RENEE OURS BILD MSW
Social Worker (Clinical)
1718 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 336-3031

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 Mardi Stacy's NPI number?

The NPI number for Mardi Stacy is 1417025974. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Mardi Stacy located?

Mardi Stacy practices at 1718 W Jefferson St, Boise, ID 83702. The listed phone number is (208) 424-8130.

What is Mardi Stacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Mardi Stacy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.