Active NPI
Arthur G Hamblin, PSY.D.
- Psychologist
- Boise, ID
National Provider Identifier
1366488132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY163
- Practice address
- 5426 Hill Rd
Boise, ID 83703-2946 - Phone
- (208) 387-1854
- Fax
- (208) 343-4124
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY163 | ID | Primary |
| Psychologist | 103T00000X | LMFT2954 | ID |
Addresses
Primary practice location
5426 Hill Rd
Boise, ID 83703-2946
Mailing address
5426 Hill Rd
Boise, ID 83703-2946
Phone (208) 387-1854
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010016554 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 5681430 | Other | ID | AETNA |
| N1631 | Other | ID | BLUE CROSS OF IDAHO |
| 82051112183703A001 | Other | ID | TRICARE |
| 1839016 | Other | ID | CIGNA |
| A052837 | Other | ID | VALUE OPTIONS |
| 0001057484 | Other | ID | MANAGED HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT2954 | ID | MD | Psychologist |
| PSY163 | ID | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366488132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5426 HILL RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837032946",
"telephone_number": "208-387-1854",
"fax_number": "208-343-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5426 HILL RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837032946",
"telephone_number": "208-387-1854",
"fax_number": "208-343-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBLIN",
"first_name": "ARTHUR",
"middle_name": "G",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "PSY163",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "LMFT2954",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010016554",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5681430",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "N1631",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "82051112183703A001",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1839016",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A052837",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "0001057484",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.