Jessica Shakespeare Neighbors, PSYD, LCSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY203874 Issued in ID

Practice address

1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834

Phone

(208) 412-7740

Fax

(208) 853-1318

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• A New Beginning Health and Healing Center

  • Mental Health Counselor
  • Eagle, ID
  • NPI 1891648234

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1679723282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S BRIDGEWAY PL STE 280",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166834",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S BRIDGEWAY PL STE 280",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166834",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7669 W Riverside Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837146183",
            "country_code": "US",
            "telephone_number": "208-412-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIGHBORS",
        "first_name": "JESSICA",
        "middle_name": "SHAKESPEARE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "28825",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY203874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vipul N Nanavati, MD, BSME, CAQH
• Nate Bonovitz Counseling, LLC
• Catie Ardean Navejar
• Kimberly Kaye Nealey, NCC, LCPC, ACADC
• Alan Glen Neighbors, LCSW
• Kelly Paris Nellesen
• Kaneshia Jade Nelson, COTA/L
• Chad Spencer Neubauer, DPT
• Cierra Nevearez
• Christopher Alan Anthony Nicholas

• Clinical Psychologist in Eagle, ID
• Providers in Eagle, 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 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.