Active NPI
Psychiatric Excellence Institute
Doing business as ADD Excellence Institute
- Psychiatry Physician
- Meridian, ID
National Provider Identifier
1235094632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PSYCHIATRIC EXCELLENCE INSTITUTE
- Doing business as
- ADD Excellence Institute
- Practice address
- 58 W Chrisfield Dr
Meridian, ID 83646-3255 - Phone
- (208) 419-5300
- NPI assigned
- Dec 17, 2025
- Last updated
- Dec 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tony Bastar, PMHNP-BC
- Title
- Provider
- Phone
- (208) 419-5300
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
58 W Chrisfield Dr
Meridian, ID 83646-3255
Mailing address
58 W Chrisfield Dr
Meridian, ID 83646-3255
Phone (208) 419-5300
Other names 1
- ADD Excellence Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1765929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1235094632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 W CHRISFIELD DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463255",
"telephone_number": "208-419-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 W CHRISFIELD DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463255",
"telephone_number": "208-419-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC EXCELLENCE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "BASTAR",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "208-419-5300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADD Excellence Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 17, 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.