Active NPI
Mallory Murphy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eagle, ID
National Provider Identifier
1497478002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MALLORY MURPHY
- Practice address
- 172 S Academy Ave Ste 150
Eagle, ID 83616-6564 - Phone
- (208) 891-6439
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mallory Murphy
- Title
- Owner
- Phone
- (208) 891-6439
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
172 S Academy Ave Ste 150
Eagle, ID 83616-6564
Mailing address
172 S Academy Ave Ste 150
Eagle, ID 83616-6564
National Provider Directory
National Provider DirectoryLocations
172 S Academy Ave
Ste 150
Eagle, ID 83616
Phone (208) 668-2701
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Camarillo, CA
- NPI 1376065474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1497478002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 S ACADEMY AVE STE 150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 S ACADEMY AVE STE 150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166564",
"telephone_number": "208-891-6439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALLORY MURPHY",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "MALLORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-891-6439"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.