Organization Active NPI

Rahmana Elizabeth Sayre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
National Provider Identifier
1689236648
Registry record updated Jun 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RAHMANA ELIZABETH SAYRE
Practice address
750 E Warm Springs Ave Ste D1
Boise, ID 83712-6457
Phone
(208) 696-1645
NPI assigned
Jun 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2019

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

Authorized official

Name
Elizabeth D. Sayre, LCSWNPI 1275876344
Title
Therapist/Owner
Phone
(208) 696-1645

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

750 E Warm Springs Ave Ste D1
Boise, ID 83712-6457

Mailing address

5032 W Wolfe St
Boise, ID 83705-1174
Phone (208) 696-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190823003299 ID Part B Supplier - Clinic/Group Practice 5698003986 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

750 E Warm Springs Ave
Ste D1
Boise, ID 83712
Phone (208) 562-7408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561852800000",
    "number": "1689236648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 W WOLFE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051174",
            "telephone_number": "208-696-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E WARM SPRINGS AVE STE D1",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126457",
            "telephone_number": "208-696-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHMANA ELIZABETH SAYRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "208-696-1645",
        "authorized_official_credential": "LCSW"
    },
    "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 Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.