KATHLEEN MCCANN DEIDRICK PHD
NPI 1891742540
Psychologist - Clinical in Boise, ID

Active since May 28, 2006PECOS Enrolled
100 E IDAHO ST, STE 200, BOISE, ID 83712(208) 381-5000 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Mccann Deidrick Phd NPPES

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

KATHLEEN MCCANN DEIDRICK PHD (NPI 1891742540) is an individual clinical provider in Boise, Idaho, licensed in Idaho (PSY202777) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891742540
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHLEEN MCCANN DEIDRICKCredential: PHD
Location Address100 E IDAHO ST, STE 200Boise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Sole ProprietorNo
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 21, 2014
NPI 1891742540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in ID · PSY202777 Licensed in MO · 2003023860
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

100 E IDAHO ST, Boise, ID 83712

Other Names 1

Former Name (1)Kathleen Keely Mccann

Other Identifiers 4

Other205814MO · Blue Shield/blue Choice
Medicare PIN221860805MO
Medicaid491287009MO
Other740169MO · Healthlink

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Mccann Deidrick Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83712 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 20

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

Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712

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 Kathleen Deidrick's NPI number?

The NPI number for Kathleen Deidrick is 1891742540. It was assigned to this individual provider in the NPPES registry on May 28, 2006. The provider is also known as Kathleen Keely Mccann.

Where is Kathleen Deidrick located?

Kathleen Deidrick practices at 100 E Idaho St Ste 200, Boise, ID 83712. The listed phone number is (208) 381-5000.

What is Kathleen Deidrick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kathleen Deidrick enrolled in Medicare?

Yes. Kathleen Deidrick is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Deidrick accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kathleen Deidrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Deidrick was last updated on February 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.