JASON SOUTHWICK PH.D.
NPI 1538412382
Clinical Neuropsychologist in Boise, ID

Q: What is Jason Southwick's NPI number?

The NPI number for Jason Southwick is 1538412382. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Q: What is Jason Southwick's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Southwick was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 17, 2012PECOS EnrolledAccepts Medicare Assignment

1055 N CURTIS RD, BOISE, ID 83706(208) 367-2121 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 18, 2024, Oct 27, 2023, Oct 10, 2023 (3 updates tracked since 2023).

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About Jason Southwick Ph.d. NPPES

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

JASON SOUTHWICK PH.D. (NPI 1538412382) is an individual clinical neuropsychologist in Boise, Idaho, licensed in Idaho (PSY - 202728) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1538412382

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameJASON SOUTHWICKCredential: PH.D.

Location Address1055 N CURTIS RDBoise, ID 83706-1309

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (082) 367-2121 · Fax (208) 367-5180

Phone(208) 367-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 17, 2012

Last NPPES UpdateMay 18, 20243 updates tracked since enumeration

NPPES CertifiedMay 18, 2024

✔ NPI 1538412382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in ID · PSY - 202728

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY - 202728 (ID)

1055 N CURTIS RD, Boise, ID 83706

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Secondary Practice Location 1

Location 13597 E Monarch Sky Ln Ste 240Meridian, ID 83646-1055 · Phone (208) 391-7274 · Fax (208) 629-1231

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Southwick Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315173747

PECOS Enrollment IDI20131113001499

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

21 services19 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

21 services19 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)