THE UNDISCOVERED SELF, PC
NPI 1487514212
Psychologist in Boise, ID

Active since November 14, 2025
1015 W HAYS ST STE 205, BOISE, ID 83702(310) 500-6862 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Undiscovered Self, Pc NPPES

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

THE UNDISCOVERED SELF, PC (NPI 1487514212) is a healthcare organization registered as a psychologist in Boise, Idaho and active in the NPI registry since November 2025. The organization lists John Anthony Beradino, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1487514212
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameTHE UNDISCOVERED SELF, PC
Location Address1015 W HAYS ST STE 205Boise, ID 83702-5412
Mailing Address1312 E Warm Springs AveBoise, ID 83712-8025 · (310) 500-6862
Organization SubpartNo
Authorized OfficialJohn Anthony BeradinoPsychologist · (310) 500-6862
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1487514212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1015 W HAYS ST STE 205, Boise, ID 83702

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

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 The Undiscovered Self, PC's NPI number?

The NPI number for The Undiscovered Self, PC is 1487514212. It was assigned to this organization in the NPPES registry on November 14, 2025.

Where is The Undiscovered Self, PC located?

The Undiscovered Self, PC is located at 1015 W Hays St Ste 205, Boise, ID 83702. The listed phone number is (310) 500-6862.

What is The Undiscovered Self, PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for The Undiscovered Self, PC was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.