Organization Active NPI

Idaho Neuro Dynamics LLC

  • Mental Health Counselor
  • Sandpoint, ID
National Provider Identifier
1831049592
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IDAHO NEURO DYNAMICS LLC
Practice address
901 Spruce St Apt a
Sandpoint, ID 83864-5024
Phone
(208) 603-9946
NPI assigned
Feb 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Mr. John Dewig, MS, LMFT, QEEG-DLNPI 1881978617
Title
Ceo/Medical Director
Phone
(208) 603-9946

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

901 Spruce St Apt a
Sandpoint, ID 83864-5024

Mailing address

901 Spruce St Apt a
Sandpoint, ID 83864-5024
Phone (208) 603-9946

National Provider Directory

National Provider Directory

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": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1831049592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SPRUCE ST APT A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645024",
            "telephone_number": "208-603-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SPRUCE ST APT A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645024",
            "telephone_number": "208-603-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO NEURO DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "DEWIG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-603-9946",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMFT, QEEG-DL"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.