Organization Active NPI

Lee Pesky Learning Center

  • School Psychologist
  • Boise, ID
National Provider Identifier
1457075129
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
LEE PESKY LEARNING CENTER
Doing business as
Lee Pesky Learning Center
Practice address
3324 W Elder St
Boise, ID 83705-4713
Phone
(208) 333-0008
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Mrs. Cordelia Germino, MED
Title
Psychomostrist
Phone
(208) 333-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

3324 W Elder St
Boise, ID 83705-4713

Mailing address

3324 W Elder St
Boise, ID 83705-4713
Phone (208) 333-0008

Other names 1

  • Lee Pesky Learning Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgermino@lplearningcenter.org Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1457075129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 W ELDER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054713",
            "telephone_number": "208-333-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 W ELDER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054713",
            "telephone_number": "208-333-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PESKY LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "GERMINO",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_title_or_position": "PSYCHOMOSTRIST",
        "authorized_official_telephone_number": "208-333-0008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgermino@lplearningcenter.org",
            "affiliation": "N",
            "endpointDescription": "Lee Pesky Learning Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3324 W Elder St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837054713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lee Pesky Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2022; 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.