Joseph Sidney Lundgren

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1087 E Park Blvd
Boise, ID 83712

Phone

(208) 369-9168

NPI assigned

Feb 26, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1346047461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093011",
            "telephone_number": "208-577-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 E PARK BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83712",
            "telephone_number": "208-369-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "JOSEPH",
        "middle_name": "SIDNEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Christine Lumia, BSW, LCSW
• Giselle Luna Madrigal
• Martha H Lund, MD
• Danielle Lundgren
• Ingrid SC Lundgren, MD
• Tasha Irene Lundquist, LMSW
• Amy Lunstrum, LPC
• Sarah Lunstrum, MS CCC-SLP
• Jason M Lunt, DO
• Sara Lupardus, LCSW

• Behavior Technician in Boise, ID
• Providers in Boise, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.