NPIMap

Organization Active NPI

Idaho Center for Autism, LLC

  • Developmentally Disabled Services Day Training Agency
  • Boise, ID
National Provider Identifier
1841405552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
3CSA146 Issued in ID
Legal business name
IDAHO CENTER FOR AUTISM, LLC
Practice address
200 S Phillippi St
Boise, ID 83705-1152
Phone
(208) 342-0374
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Whipps
Title
Executive Director
Phone
(208) 342-0374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 3CSA146 ID Primary

Addresses

Primary practice location

200 S Phillippi St
Boise, ID 83705-1152

Mailing address

200 S Phillippi St
Boise, ID 83705-1152
Phone (208) 342-0374

National Provider Directory

National Provider Directory
Tax ID family
Idaho Center for Autism LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841405552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S PHILLIPPI ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051152",
            "telephone_number": "208-342-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S PHILLIPPI ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051152",
            "telephone_number": "208-342-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO CENTER FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHIPPS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-342-0374"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "3CSA146",
            "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 22, 2020; 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.