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IDAHO NEUROPSYCHOLOGY, PLLC
NPI 1750257184
Clinical Neuropsychologist in Boise, ID

Active since October 13, 2025
1305 S FIVE MILE RD, BOISE, ID 83709(208) 789-0910(208) 789-0916 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Idaho Neuropsychology, Pllc NPPES

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

IDAHO NEUROPSYCHOLOGY, PLLC (NPI 1750257184) is a healthcare organization registered as a clinical neuropsychologist in Boise, Idaho and active in the NPI registry since October 2025. The organization lists Joseph S Black, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1750257184
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameIDAHO NEUROPSYCHOLOGY, PLLC
Location Address1305 S FIVE MILE RDBoise, ID 83709-1306
Mailing Address10400 W Overland Rd # 357Boise, ID 83709-1433 · (208) 789-0910 · Fax (208) 789-0916
Phone(208) 789-0910
Fax(208) 789-0916
Organization SubpartNo
Authorized OfficialJoseph S BlackOwner/ceo · (208) 207-8331
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1750257184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
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 · Adult Development & AgingTaxonomy 103TA0700X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1305 S FIVE MILE RD, Boise, ID 83709
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY A PEWE P.A.
Chiropractor
1305 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 327-0066
CHIROPRACTIC ARTS, P.A.
Chiropractor
1305 S FIVE MILE RD
BOISE, ID 83709
Ada County (208) 327-0066

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 Neuropsychology, PLLC's NPI number?

The NPI number for Idaho Neuropsychology, PLLC is 1750257184. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Idaho Neuropsychology, PLLC located?

Idaho Neuropsychology, PLLC is located at 1305 S Five Mile Rd, Boise, ID 83709. The listed phone number is (208) 789-0910.

What is Idaho Neuropsychology, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Idaho Neuropsychology, PLLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.