Individual provider Active NPI

Donald Kincaid, PHD

  • Clinical Psychologist
  • Coeur D Alene, ID
National Provider Identifier
1346783545
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-203761 Issued in ID
Practice address
2005 N Ironwood Pkwy Ste 222
Coeur D Alene, ID 83814-2647
Phone
(208) 719-6690
Fax
(208) 719-7957
NPI assigned
Nov 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-203761 ID Primary

Addresses

Primary practice location

2005 N Ironwood Pkwy Ste 222
Coeur D Alene, ID 83814-2647

Mailing address

2005 N Ironwood Pkwy Ste 222
Coeur D Alene, ID 83814-2647
Phone (208) 719-6690

Other practice location 1

2005 N Ironwood Pkwy Ste 120
Coeur D Alene, ID 83814-2647
Phone (509) 599-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416002170 ID Practitioner - Clinical Psychologist 2264891548 Receives reassigned benefits from 1 practitioner
Practice locations: Coeur D Alene, ID

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Insight for Wellness Clinical CurrentSince May 14, 2024 Accepting new patients
John a Wolfe, PH.D., LLC and Associates Clinical Past Accepting new patients

Locations

2005 N Ironwood Pkwy
Ste 120
Coeur D Alene, ID 83814
Phone (208) 704-0342

2005 N Ironwood Pkwy
Ste 222
Coeur D Alene, ID 83814
Phone (208) 719-6690

296 W Sunset Ave
Ste 15
Coeur D Alene, ID 83815
Phone (208) 666-0357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1346783545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N IRONWOOD PKWY STE 222",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-719-6690",
            "fax_number": "208-719-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N IRONWOOD PKWY STE 222",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-719-6690",
            "fax_number": "208-719-7957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 N Ironwood Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142647",
            "country_code": "US",
            "telephone_number": "509-599-6277",
            "fax_number": "208-719-7957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "DONALD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.