Active NPI
Rick A Yavruian, DO
- Psychiatry Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- O-243
- Practice address
- 131 N Alumbaugh St
Boise, ID 83704-9204 - Phone
- (208) 367-2175
- Fax
- (208) 376-0285
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | O-243 | ID | Primary |
Addresses
Primary practice location
131 N Alumbaugh St
Boise, ID 83704-9204
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-2175
Other practice location 1
2335 E State Ave
Meridian, ID 83642-8808
Phone (208) 672-1801
Other practice location 2
7941 W Rifleman St
Boise, ID 83704-9001
Phone (208) 895-7950
Other practice location 3
6600 W Emerald St
Boise, ID 83704-8738
Phone (208) 609-9020
Other practice location 4
9292 W Barnes Dr
Boise, ID 83709-1554
Phone (208) 795-3515
Other practice location 5
847 Parkcentre Way Ste 7
Nampa, ID 83651-1794
Phone (208) 229-6050
Other practice location 6
300 S 23rd St
Boise, ID 83702-9100
Phone (208) 344-3512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831131085 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060925000332 | ID | Practitioner - Psychiatry | 8729083852 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Michigan State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Clinics Inc
Practice addresses (Care Compare)
207 1St St S
Nampa, ID 83651-3703
Phone (208) 466-7869
300 S 23Rd St
Boise, ID 83702-9100
Phone (208) 344-3512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-243 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Clinics, Inc. | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Addiction Medicine | Past | Accepting new patients |
| Magic Valley Regional Medical Center | Past | Accepting new patients | |
| Community Health Clinics, Inc. | Past | Accepting new patients | |
| Community Health Clinics, Inc. | Past | Accepting new patients | |
| Northpoint Recovery LLC | Past | Accepting new patients | |
| Ashwood Recovery LLC | Past | Accepting new patients | |
| Ashwood Recovery LLC | Past | Accepting new patients | |
| Community Health Clinics, Inc. | Addiction Medicine | Past | Accepting new patients |
Locations
300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512
150 2nd St
Melba, ID 83641
Phone (208) 495-1011
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1346254026
-
- Federally Qualified Health Center (FQHC)
- Nampa, ID
- NPI 1851531388
-
- Federally Qualified Health Center (FQHC)
- Nampa, ID
- NPI 1134527708
Addiction Medicine
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1588678361
Addiction Medicine
-
- Federally Qualified Health Center (FQHC)
- Caldwell, ID
- NPI 1831574276
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1952756884
-
- Federally Qualified Health Center (FQHC)
- Caldwell, ID
- NPI 1043230501
-
- Federally Qualified Health Center (FQHC)
- Meridian, ID
- NPI 1215941083
-
- Federally Qualified Health Center (FQHC)
- Caldwell, ID
- NPI 1326542705
-
- Federally Qualified Health Center (FQHC)
- Homedale, ID
- NPI 1386757235
-
- Federally Qualified Health Center (FQHC)
- Melba, ID
- NPI 1578574521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1831131085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-2175",
"fax_number": "208-376-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 N ALUMBAUGH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049204",
"telephone_number": "208-367-2175",
"fax_number": "208-376-0285"
}
],
"practiceLocations": [
{
"address_1": "2335 E State Ave",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836428808",
"country_code": "US",
"telephone_number": "208-672-1801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7941 W Rifleman St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837049001",
"country_code": "US",
"telephone_number": "208-895-7950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6600 W Emerald St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837048738",
"country_code": "US",
"telephone_number": "208-609-9020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9292 W Barnes Dr",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837091554",
"country_code": "US",
"telephone_number": "208-795-3515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "847 Parkcentre Way Ste 7",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836511794",
"country_code": "US",
"telephone_number": "208-229-6050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 S 23rd St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837029100",
"country_code": "US",
"telephone_number": "208-344-3512",
"fax_number": "208-466-5359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAVRUIAN",
"first_name": "RICK",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "O-243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831131085",
"state": "ID"
}
],
"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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.