1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Psychiatry Neurology
  6. NPI Profile

CLEARWATER PSYCHIATRY PLLC
NPI 1487318960
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since October 29, 2021
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704(208) 323-1125(208) 323-9604 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clearwater Psychiatry Pllc NPPES

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

CLEARWATER PSYCHIATRY PLLC (NPI 1487318960) is a healthcare organization registered as a psychiatry in Boise, Idaho and active in the NPI registry since October 2021. The organization lists Cheri Peterson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1487318960
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCLEARWATER PSYCHIATRY PLLC
Location Address413 N ALLUMBAUGH ST STE 101Boise, ID 83704-9219
Mailing Address413 N Allumbaugh St Ste 101Boise, ID 83704-9219 · (208) 323-1125 · Fax (208) 323-9604
Phone(208) 323-1125
Fax(208) 323-9604
Organization SubpartNo
Authorized OfficialCheri PetersonCredentialing Specialist · (208) 954-5594
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1487318960 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
Open in Google Maps ↗

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)

Clearwater 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 Clearwater Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Thompson, M.D.
Psychiatry
NPI 1699207647
413 N ALLUMBAUGH ST STE 101
Boise, ID 83704
(208) 323-1125
✔ PECOS✔ Accepts MedicareSame address

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 Clearwater Psychiatry PLLC's NPI number?

The NPI number for Clearwater Psychiatry PLLC is 1487318960. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Clearwater Psychiatry PLLC located?

Clearwater Psychiatry PLLC is located at 413 N Allumbaugh St Ste 101, Boise, ID 83704. The listed phone number is (208) 323-1125.

What is Clearwater Psychiatry PLLC's specialty?

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

Is Clearwater Psychiatry PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Clearwater Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Clearwater 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 Clearwater Psychiatry PLLC was last updated on October 29, 2021. 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.