Paula K Barrett, PSYD, LCSW
Individual provider Active NPI Clinical Psychologist · Boise, ID
NPI 1003919259 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1003919259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2543 (KS)
- Practice address
- 444 W Fort St FL 2
Boise, ID 83702-4535 - Phone
- (208) 422-1018
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2543 | KS | MD | Professional Counselor |
| CSW0003811 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW0003811 | GA | |
| Clinical Psychologist | 103TC0700X | 2543 | KS | Yes |
Addresses
Primary practice location
444 W Fort St FL 2
Boise, ID 83702-4535
Mailing address
444 W Fort St FL 2
Boise, ID 83702-4535
Phone (208) 422-1018
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.