Michelyn Devine, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-203569 Issued in ID

Practice address

12047 S 5TH W
Shelley, ID 83274-5401

Phone

(661) 300-0488

NPI assigned

Mar 28, 2007

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

4 Pillars of Success LLCGroup PAC ID 4688027188, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Multi-Specialty Clinic/Center
  • Ammon, ID
  • NPI 1619134277
  Medicare reassignment Care Compare group NPD
• 4 Pillars of Success LLC

  dba RHS Medical Clinic

  • Clinic/Center
  • Ammon, ID
  • NPI 1457698565
  NPD
• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Clinic/Center
  • Ammon, ID
  • NPI 1992487615

  Multi-Specialty

  NPD
• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Psychologist
  • Ammon, ID
  • NPI 1811029341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1841319225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032106",
            "telephone_number": "208-523-5319",
            "fax_number": "208-523-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12047 S 5TH W",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745401",
            "telephone_number": "661-300-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "MICHELYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17294",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis W Carpenter, D.D.S.
• Kristee K. Criddle, LISW
• Cruz Therapy Services (Shelley Physical Therapy & Fitness Center)
• Joel Cruz, PT
• Shane Darnell
• Dr Steven F Nielsen DDS PA (River Valley Dental Care)
• Elevated Life Family Chiropractic PLLC (Elevated Life Family Chiropractic)
• Kiva Louise Felgenhauer, RN
• Sara Ann Felgenhauer
• Stacy J Gardner, OT

• Clinical Psychologist in Shelley, ID
• Providers in Shelley, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.

Verify at the official NPI Registry.