NPIMap

Organization Active NPI

Cornerstone Psychological Associates, PLLC

  • Clinical Psychologist
  • Boise, ID
National Provider Identifier
1184766396
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CORNERSTONE PSYCHOLOGICAL ASSOCIATES, PLLC
Practice address
1755 Westgate Dr
Suite 260
Boise, ID 83704-7174
Phone
(208) 373-0790
Fax
(208) 373-0816
NPI assigned
Feb 13, 2007
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Joseph Al Lipetzky, PSYDNPI 1467440065
Title
Manager
Phone
(208) 373-0790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1755 Westgate Dr
Suite 260
Boise, ID 83704-7174

Mailing address

1755 N Westgate Dr
Suite 260
Boise, ID 83704-7174
Phone (208) 373-0790

Other identifiers 1

IdentifierTypeStateIssuer
8G759OtherIDBLUE CROSS OF IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040619000069 ID Part B Supplier - Clinic/Group Practice 6103801683 Receives reassigned benefits from 8 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1184766396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N WESTGATE DR",
            "address_2": "SUITE 260",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047174",
            "telephone_number": "208-373-0790",
            "fax_number": "208-373-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 WESTGATE DR",
            "address_2": "SUITE 260",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047174",
            "telephone_number": "208-373-0790",
            "fax_number": "208-373-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PSYCHOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "LIPETZKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-373-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8G759",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.