Psychology Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY181 Issued in ID

Legal business name

PSYCHOLOGY SERVICES, PLLC

Practice address

1120 N Garden St
Boise, ID 83706-2310

Phone

(208) 345-1414

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

James Bruce, PHD

Title

Owner/Psychologist

Phone

(208) 345-1414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891890703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N GARDEN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062310",
            "telephone_number": "208-345-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N GARDEN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062310",
            "telephone_number": "208-345-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-345-1414",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.