Organization Active NPI

Confluence Health Psychology PLLC

  • Adult Mental Health Clinic/Center
  • Boise, ID
National Provider Identifier
1639825706
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONFLUENCE HEALTH PSYCHOLOGY PLLC
Practice address
515 N Maple Ave
Boise, ID 83712-7338
Phone
(208) 576-6279
NPI assigned
Feb 26, 2022
Last updated
Feb 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
Dr. Kyle Davis, PHDNPI 1801273008
Title
Owner
Phone
(208) 576-6279

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

515 N Maple Ave
Boise, ID 83712-7338

Mailing address

1775 W State St # 343
Boise, ID 83702-3924
Phone (208) 576-6279

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1639825706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W STATE ST # 343",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023924",
            "telephone_number": "208-576-6279",
            "fax_number": "208-600-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MAPLE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127338",
            "telephone_number": "208-576-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUENCE HEALTH PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-576-6279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 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.