Active NPI
New Age Med Clinic
- Behavioral Neurology & Neuropsychiatry Physician
- Boise, ID
National Provider Identifier
1831065481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- NEW AGE MED CLINIC
- Practice address
- 3501 W Elder St Ste 102
Boise, ID 83705-4986 - Phone
- (208) 573-3053
- NPI assigned
- Oct 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Iron
- Title
- Owner
- Phone
- (208) 573-3053
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Health & Wellness Coach | 171400000X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary |
Addresses
Primary practice location
3501 W Elder St Ste 102
Boise, ID 83705-4986
Mailing address
4320 W Edgemont St
Boise, ID 83706-2304
National Provider Directory
National Provider DirectoryLocations
3501 W Elder St
Ste 102
Boise, ID 83705
Phone (208) 573-3053
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
- NPI 1427247410
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1831065481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 W EDGEMONT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837062304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W ELDER ST STE 102",
"city": "BOISE",
"state": "ID",
"postal_code": "837054986",
"telephone_number": "208-573-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW AGE MED CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-13",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "IRON",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-573-3053"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"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 Aug 12, 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.