RYAN SHACKELFORD MD, PLLC
NPI 1447969506
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since November 17, 2022
1525 S OWYHEE ST, BOISE, ID 83705(208) 297-3698(208) 561-8051 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ryan Shackelford Md, Pllc NPPES

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

RYAN SHACKELFORD MD, PLLC (NPI 1447969506) is a healthcare organization registered as a psychiatry in Boise, Idaho and active in the NPI registry since November 2022. The organization lists James Ryan Shackelford, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1447969506
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameRYAN SHACKELFORD MD, PLLC
Location Address1525 S OWYHEE STBoise, ID 83705-6014
Mailing Address1525 S Owyhee StBoise, ID 83705-6014 · (208) 297-3698 · Fax (208) 561-8051
Fax(208) 561-8051
Organization SubpartNo
Authorized OfficialJames Ryan ShackelfordPsychiatrist · (208) 297-3698
Enumeration DateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
NPI 1447969506 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.
1525 S OWYHEE ST, Boise, ID 83705

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 5

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

Internal Medicine
1525 S OWYHEE ST
BOISE, ID 83705
Surgery
1525 S OWYHEE ST
BOISE, ID 83705
Surgery
1525 S OWYHEE ST
BOISE, ID 83705
Clinic/Center
1525 S OWYHEE ST
BOISE, ID 83705
Surgery
1525 S OWYHEE ST
BOISE, ID 83705

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 Ryan Shackelford MD, PLLC's NPI number?

The NPI number for Ryan Shackelford MD, PLLC is 1447969506. It was assigned to this organization in the NPPES registry on November 17, 2022.

Where is Ryan Shackelford MD, PLLC located?

Ryan Shackelford MD, PLLC is located at 1525 S Owyhee St, Boise, ID 83705. The listed phone number is (208) 297-3698.

What is Ryan Shackelford MD, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ryan Shackelford MD, PLLC was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.