Active NPI
Bora Bisimwa
- Health Service Psychologist
- Caldwell, ID
National Provider Identifier
1730035403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- CFH-10146
- Practice address
- 12667 Goff St
Caldwell, ID 83607-5845 - Phone
- (520) 269-2213
- NPI assigned
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | CFH-10146 | ID | Primary |
Addresses
Primary practice location
12667 Goff St
Caldwell, ID 83607-5845
Mailing address
12667 Goff St
Caldwell, ID 83607-5845
Phone (520) 269-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFH-10146 | ID | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1730035403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12667 GOFF ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836075845",
"telephone_number": "520-269-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12667 GOFF ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836075845",
"telephone_number": "520-269-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISIMWA",
"first_name": "BORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "ID",
"license": "CFH-10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.