Individual provider Active NPI

Erika Leigh Eisele, PSY.D.

  • Psychologist
  • Boise, ID
National Provider Identifier
1073996401
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
500 W Fort St
CRH # 444, 2ND Floor
Boise, ID 83702-4501
Phone
(208) 422-1018
NPI assigned
Jul 2, 2015
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

500 W Fort St
CRH # 444, 2ND Floor
Boise, ID 83702-4501

Mailing address

1200 N Main St Unit 1223
Meridian, ID 83680-5054
Phone (208) 908-2240

Other practice location 1

1755 N Westgate Dr Ste 260
Boise, ID 83704-7176
Phone (208) 373-0790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819003769 ID Practitioner - Clinical Psychologist 0143674929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Psychological Associates, PLLCGroup PAC ID 6103801683, 7 clinicians

Practice addresses (Care Compare)

1755 N Westgate Dr
Suite 260
Boise, ID 83704-7176
Phone (208) 373-0790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological Associates, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Columbiacare Services Past Accepting new patients

Locations

1755 N Westgate Dr
Ste 260
Boise, ID 83704
Phone (208) 321-1191

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1073996401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST UNIT 1223",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836805054",
            "telephone_number": "208-908-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "address_2": "CRH # 444, 2ND FLOOR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501",
            "telephone_number": "208-422-1018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Westgate Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837047176",
            "country_code": "US",
            "telephone_number": "208-373-0790",
            "fax_number": "208-373-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISELE",
        "first_name": "ERIKA",
        "middle_name": "LEIGH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.