Individual provider Active NPI

Rick A Yavruian, DO

  • Psychiatry Physician
  • Boise, ID
National Provider Identifier
1831131085
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
O-243 Issued in ID
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

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1831131085MedicaidID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 4082527353, 75 clinicians

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

LicenseStateTypeSpecialty
O-243IDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinics, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Community Health Clinics, Inc. Current Accepting new patients
Community Health Clinics, Inc. CurrentSince Apr 15, 2024 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 PastSince Nov 27, 2022 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.

View all 21

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

Verify at the official NPI Registry.