Janelle Ruth Eckhardt, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

202132 Issued in ID

Practice address

1524 W Hays St
Suite 202
Boise, ID 83702-4035

Phone

(208) 345-8712

Fax

(208) 345-1550

NPI assigned

Jan 23, 2007

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Deborah K. Every, Psy.D., LLC

  • Psychologist
  • Boise, ID
  • NPI 1861063745
  NPD (past)
• Mary Davis, PHD PLLC

  • Psychologist
  • Boise, ID
  • NPI 1366466021
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1407900772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 3RD AVE N STE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203208",
            "telephone_number": "206-637-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W HAYS ST",
            "address_2": "SUITE 202",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024035",
            "telephone_number": "208-345-8712",
            "fax_number": "208-345-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHARDT",
        "first_name": "JANELLE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "202132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Joseph Eccles, PHYSICAL THERAPIST
• Natalie Dawn Echanis, RD
• Joshua Echeverria
• Shawn Echols, M.D.
• John J Eck, M.D.
• Steven Anthony Eckhoff, PA-C
• Alisha D Ecklar, M.S. CCC-SLP
• Tucker Tyler Eddins
• Christine Lea Eden, MD
• Holly R Eden, M.ED.

• Clinical Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.