NPIMap

Organization Active NPI

Maitri House Yoga, LLC

  • Clinical Psychologist
  • Boise, ID
National Provider Identifier
1689116246
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 202991 Issued in ID
Legal business name
MAITRI HOUSE YOGA, LLC
Practice address
1310 W Hays St
Boise, ID 83702-5025
Phone
(503) 962-9025
NPI assigned
Nov 14, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Michael P Saprio, PSYD
Title
Owner
Phone
(503) 962-9025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 202991 ID Primary

Addresses

Primary practice location

1310 W Hays St
Boise, ID 83702-5025

Mailing address

709 S Phillippi St
Boise, ID 83705-1163
Phone (503) 962-9025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1689116246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S PHILLIPPI ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051163",
            "telephone_number": "503-962-9025",
            "fax_number": "208-433-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025025",
            "telephone_number": "503-962-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI HOUSE YOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "SAPRIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-962-9025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY 202991",
            "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 Dec 12, 2016; 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.