Organization Active NPI

Nvelup Idaho Corp

  • Psychiatry Physician
  • Meridian, ID
National Provider Identifier
1184329070
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NVELUP IDAHO CORP
Practice address
3597 E Monarch Sky LN Ste 240-8464
Meridian, ID 83646-1053
Phone
(208) 510-6030
NPI assigned
Mar 31, 2023
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Troy Di Lello
Title
President
Phone
(208) 510-6030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

3597 E Monarch Sky LN Ste 240-8464
Meridian, ID 83646-1053

Mailing address

PO Box 7221
Petaluma, CA 94955-7221
Phone (415) 324-9906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1184329070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7221",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949557221",
            "telephone_number": "415-324-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 E MONARCH SKY LN STE 240-8464",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461053",
            "telephone_number": "208-510-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVELUP IDAHO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "DI LELLO",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-510-6030"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.