Sean Haggerty, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

56647 Issued in ID

Practice address

13972 Trapper LN
Caldwell, ID 83607-5481

Phone

(208) 906-4073

NPI assigned

Mar 31, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Idaho TMSGroup PAC ID 5698100840, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Idaho TMS

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
  • NPI 1841857513

  ID, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Snake River Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Caldwell, ID
  • NPI 1902771678

  Psychiatric/Mental Health

  NPD Authorized official
• Mark a Jepson PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Boise, ID
  • NPI 1114335221

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1245935113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13972 TRAPPER LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075481",
            "telephone_number": "208-906-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13972 TRAPPER LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075481",
            "telephone_number": "208-906-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "SEAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "56647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Jason Guthrie, PHARMD
• Angel Guzman
• Melina Guzman
• Gyst Counseling & Wellness LLC
• Thao Thi Thu Ha, LMSW
• Marla Gaye Hale
• Derek B Hamblin, M.D.
• Dylan Jacob Joseph Hammer, PHARMD
• Ashley Hammond
• Emily Hammond, RN

• Psychiatric/Mental Health Nurse Practitioner in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.