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IDAHO MEMORY & AGING CENTER PLLC
NPI 1730528548
Psychiatry & Neurology - Geriatric Psychiatry in Boise, ID

Active since June 14, 2013
413 N ALLUMBAUGH ST, STE# 101, BOISE, ID 83704(617) 922-4957 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Memory & Aging Center Pllc NPPES

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

IDAHO MEMORY & AGING CENTER PLLC (NPI 1730528548) is a healthcare organization registered as a geriatric psychiatry in Boise, Idaho and active in the NPI registry since June 2013. The organization lists Abhilash K Desai, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730528548
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameIDAHO MEMORY & AGING CENTER PLLC
Location Address413 N ALLUMBAUGH ST, STE# 101Boise, ID 83704-9212
Mailing Address413 N Allumbaugh St, Ste# 101Boise, ID 83704-9212 · (617) 922-4957
Phone(617) 922-4957
Organization SubpartNo
Authorized OfficialAbhilash K DesaiMedical Director · (617) 922-4957
Enumeration DateJune 14, 2013
Last NPPES UpdateJuly 19, 2013
✔ NPI 1730528548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in ID · M-12079
Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

413 N ALLUMBAUGH ST, Boise, ID 83704
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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 20

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

ROBERTO A. NEGRON, M.D., P.C.
Psychiatry & Neurology (Psychiatry)
413 N ALLUMBAUGH ST, STE 101
BOISE, ID 83704
Ada County (208) 323-1125
MARK A JEPSON PLLC
Registered Nurse (Psychiatric/Mental Health)
413 N ALLUMBAUGH ST, STE. 101
BOISE, ID 83704
Ada County (208) 323-1125
BRADY G HAMILTON PA-C
Physician Assistant (Medical)
413 N ALLUMBAUGH ST, SUITE 101
BOISE, ID 83704
Ada County (208) 323-1125
GAIL ROBISON NP PLLC
Nurse Practitioner (Psychiatric/Mental Health)
413 N ALLUMBAUGH ST, SUITE 101
BOISE, ID 83704
Ada County (208) 323-1125
JEREMY HANDY, M.D., PLLC
Psychiatry & Neurology (Neurology)
413 N ALLUMBAUGH ST, SUITE 101
BOISE, ID 83704
Ada County (208) 323-1125
TIFFANY A FINATERI LMSW
Social Worker
413 N ALLUMBAUGH ST, STE. 102
BOISE, ID 83704
Ada County (208) 287-0993
COIRE WEATHERS MD
Psychiatry & Neurology (Psychiatry)
413 N ALLUMBAUGH ST, SUITE 101
BOISE, ID 83704
Ada County (208) 323-1125
OMAR RAHMAN SYED
Family Medicine
413 N ALLUMBAUGH ST, SUITE 101
BOISE, ID 83704
Ada County (208) 323-1125

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 Idaho Memory & Aging Center PLLC's NPI number?

The NPI number for Idaho Memory & Aging Center PLLC is 1730528548. It was assigned to this organization in the NPPES registry on June 14, 2013.

Where is Idaho Memory & Aging Center PLLC located?

Idaho Memory & Aging Center PLLC is located at 413 N Allumbaugh St Ste# 101, Boise, ID 83704. The listed phone number is (617) 922-4957.

What is Idaho Memory & Aging Center PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Idaho Memory & Aging Center PLLC was last updated on July 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.