NPIMap

Organization Active NPI

Epic Psychological Services, PLLC

  • Psychologist
  • Meridian, ID
National Provider Identifier
1861759854
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-282 Issued in ID
Legal business name
EPIC PSYCHOLOGICAL SERVICES, PLLC
Practice address
2273 E Gala St
Suite 100
Meridian, ID 83642-7289
Phone
(208) 898-8999
Fax
(208) 898-8989
NPI assigned
Apr 16, 2012
Last updated
Apr 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Ryan J Hulbert, PH.D.NPI 1053689356
Title
Owner
Phone
(208) 898-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-282 ID Primary
Clinical Psychologist 103TC0700X PSY-282 ID
Counseling Psychologist 103TC1900X PSY-282 ID

Addresses

Primary practice location

2273 E Gala St
Suite 100
Meridian, ID 83642-7289

Mailing address

24108 Ten Davis Rd
Parma, ID 83660-7212
Phone (208) 898-8999

National Provider Directory

National Provider Directory

Locations

2273 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 898-8999

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1861759854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24108 TEN DAVIS RD",
            "city": "PARMA",
            "state": "ID",
            "postal_code": "836607212",
            "telephone_number": "208-898-8999",
            "fax_number": "208-898-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 E GALA ST",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427289",
            "telephone_number": "208-898-8999",
            "fax_number": "208-898-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "HULBERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-898-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-282",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-282",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY-282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.