STRAIGHT EDGE PSYCHIATRY PLLC
NPI 1447113980
Psychiatry & Neurology - Psychiatry in Boise, ID

Q: What is Straight Edge Psychiatry PLLC's NPI number?

The NPI number for Straight Edge Psychiatry PLLC is 1447113980. It was assigned to this organization in the NPPES registry on December 3, 2025.

Q: What is Straight Edge Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since December 03, 2025

413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704(208) 451-5413 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Straight Edge Psychiatry Pllc NPPES

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

STRAIGHT EDGE PSYCHIATRY PLLC (NPI 1447113980) is a healthcare organization registered as a psychiatry in Boise, Idaho and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Eagle and lists Merrill Velez, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1447113980

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSTRAIGHT EDGE PSYCHIATRY PLLC

Location Address413 N ALLUMBAUGH ST STE 101Boise, ID 83704-9219

Mailing AddressPo Box 190703Boise, ID 83719-0703 · (208) 451-5413

Phone(208) 451-5413

Organization SubpartNo

Authorized OfficialMerrill VelezPsychiatrist · (208) 451-5413

Enumeration DateDecember 3, 2025

NPPES CertifiedDecember 2, 2025

✔ NPI 1447113980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

413 N ALLUMBAUGH ST STE 101, Boise, ID 83704

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Secondary Practice Location 1

Location 11032 S Bridgeway PlEagle, ID 83616-6099 · Phone (208) 451-5413

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Straight Edge Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Straight Edge Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Merrill Velez

Psychiatry

NPI 1093078073

703 S AMERICANA BLVD STE 150
Boise, ID 83702

(208) 706-6375

✔ PECOS✔ Accepts Medicare2.5 mi

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 Straight Edge Psychiatry PLLC's NPI number?

The NPI number for Straight Edge Psychiatry PLLC is 1447113980. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Straight Edge Psychiatry PLLC located?

Straight Edge Psychiatry PLLC is located at 413 N Allumbaugh St Ste 101, Boise, ID 83704. The listed phone number is (208) 451-5413.

What is Straight Edge Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Straight Edge Psychiatry PLLC enrolled in Medicare?

Yes. Straight Edge Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Straight Edge Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Straight Edge Psychiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Straight Edge Psychiatry PLLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.