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

KENNETH EDWARD SQUIRES III D.O.
NPI 1649706326
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since May 02, 2017PECOS EnrolledAccepts Medicare Assignment
6348 W EMERALD ST, BOISE, ID 83704(208) 302-0900(208) 302-0955 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Edward Squires Iii D.o. NPPES

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

KENNETH EDWARD SQUIRES III D.O. (NPI 1649706326) is an individual psychiatry provider in Boise, Idaho, licensed in Idaho (O-1978) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corvallis, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2017).

NPPES Registry Identity

NPI1649706326
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKENNETH EDWARD SQUIRES IIICredential: D.O.
Location Address6348 W EMERALD STBoise, ID 83704-8732
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 302-0900
Fax(208) 302-0955
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2017
Enumeration DateMay 2, 2017
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1649706326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in ID · O-1978✔ Licensed in OR · PG183059
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.
6348 W EMERALD ST, Boise, ID 83704
Open in Google Maps ↗

Other Names 1

Other Name (5)Kenny Squires D.o.

Secondary Practice Location 1

Location 13600 NW Samaritan DrCorvallis, OR 97330-3737 · Phone (541) 768-4906

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

Kenneth Edward Squires Iii D.o. 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 ID446529242
PECOS Enrollment IDI20240530001672
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

XAVIER AL-MATEEN
Student in an Organized Health Care Education/Training Program
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
LAUREN ABIGAIL SMITH
Registered Nurse
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
STEVEN JON KNOTT APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
GORDON FRANK CVACH MSW
Social Worker (Clinical)
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
LAUREN JOYCE-MORAN CSW
Social Worker (Clinical)
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
PATRICK RYAN MCLELAND SERVICE EXTENDER
Student in an Organized Health Care Education/Training Program
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
BRIEANN EMFIELD LCPC
Counselor
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900
MS. AMY LYNN ROBERTS LCSW
Social Worker (Clinical)
6348 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-0900

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 Kenneth Squires's NPI number?

The NPI number for Kenneth Squires is 1649706326. It was assigned to this individual provider in the NPPES registry on May 2, 2017. The provider is also known as Kenny Squires D.O..

Where is Kenneth Squires located?

Kenneth Squires practices at 6348 W Emerald St, Boise, ID 83704. The listed phone number is (208) 302-0900.

What is Kenneth Squires's specialty?

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

Is Kenneth Squires enrolled in Medicare?

Yes. Kenneth Squires is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Squires was last updated on May 15, 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.