NPIMap

Organization Active NPI

Idaho Center for Autism, LLC

  • Case Management Agency
  • Boise, ID
National Provider Identifier
1740463132
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8078750 Issued in ID
Legal business name
IDAHO CENTER FOR AUTISM, LLC
Practice address
5353 Franklin Rd
Boise, ID 83705-1112
Phone
(208) 342-0374
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Ms. Stephanie M Whipps, M.S., M.ED.
Title
Executive Director
Phone
(208) 342-0374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8078750 ID Primary

Addresses

Primary practice location

5353 Franklin Rd
Boise, ID 83705-1112

Mailing address

PO Box 706
Meridian, ID 83680-0706
Phone (208) 342-0374

National Provider Directory

National Provider Directory
Tax ID family
Idaho Center for Autism LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5353 W Franklin Rd
Boise, ID 83705
Phone (208) 342-0374

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": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1740463132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836800706",
            "telephone_number": "208-342-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051112",
            "telephone_number": "208-342-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO CENTER FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "WHIPPS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-342-0374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., M.ED."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "8078750",
            "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 10, 2007; 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.