NPIMap

Individual provider Active NPI

Robert F. Calhoun, PHD

  • Clinical Neuropsychologist
  • Boise, ID
National Provider Identifier
1376697946
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY-277 Issued in ID
Practice address
311 Allumbaugh St
Boise, ID 83704-9208
Phone
(208) 375-6402
Fax
(208) 323-1850
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY-277 ID Primary

Addresses

Primary practice location

311 Allumbaugh St
Boise, ID 83704-9208

Mailing address

311 Allumbaugh St
Boise, ID 83704-9208
Phone (208) 375-6402

Other identifiers 2

IdentifierTypeStateIssuer
N2779OtherIDBLUE CROSS
00001001591OtherIDREGENCE BLUE SHIELD

Other names 1

  • Dr. Robert F. Calhoun Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000430 ID Practitioner - Clinical Psychologist 2668408139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center Inc 672 clinicians
Mountain States Counseling and Psychological Services PLLL 2 clinicians

Practice addresses (Care Compare)

1055 N Curtis
Boise, ID 83706-1309

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

3380 W Americana Ter
Suite 320
Boise, ID 83706-2549
Phone (208) 375-6402

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY-277IDMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain States Counseling & Psychological Services PLLL CurrentSince Aug 12, 2010 Accepting new patients

Locations

311 N Allumbaugh St
Boise, ID 83704
Phone (208) 375-6402

3380 W Americana Ter
Ste 320
Boise, ID 83706
Phone (208) 375-6402

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1376697946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-375-6402",
            "fax_number": "208-323-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-375-6402",
            "fax_number": "208-323-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ID",
            "license": "PSY-277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N2779",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "00001001591",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "CALHOUN",
            "middle_name": "F.",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.