Active NPI
Andrea K Dughoff, PH.D.
- Psychologist
- Boise, ID
National Provider Identifier
1053721886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4692
- Practice address
- 444 W Fort St
CRH 2ND Floor
Boise, ID 83702-4535 - Phone
- (208) 422-1018
- NPI assigned
- May 1, 2014
- Last updated
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4692 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | 5882 | NC |
Addresses
Primary practice location
444 W Fort St
CRH 2ND Floor
Boise, ID 83702-4535
Mailing address
850 Thornton PL
Hendersonville, NC 28791-4406
Phone (305) 772-7212
Other names 1
- Andrea Saathoff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 18, 2026 through Jun 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1053721886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 THORNTON PL",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287914406",
"telephone_number": "305-772-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W FORT ST",
"address_2": "CRH 2ND FLOOR",
"city": "BOISE",
"state": "ID",
"postal_code": "837024535",
"telephone_number": "208-422-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGHOFF",
"first_name": "ANDREA",
"middle_name": "K",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2023-09-29",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4692",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "SAATHOFF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.