Snake River Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SNAKE RIVER PSYCHIATRY PLLC

Practice address

13972 Trapper LN
Caldwell, ID 83607-5481

Phone

(208) 906-4073

NPI assigned

Oct 10, 2025

Last updated

Oct 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Haggerty, PMHNP-BCNPI 1245935113

Title

Sole Member

Phone

(208) 906-4073

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Sean Haggerty, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Caldwell, ID
  • NPI 1245935113
  NPD Authorized official

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1902771678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13972 TRAPPER LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075481",
            "telephone_number": "208-906-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13972 TRAPPER LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075481",
            "telephone_number": "208-906-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "208-906-4073",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Smith, PHARMD
• John Quentin Smith, MD
• Josiah Smith, PA-C
• Lina Smith, LBSW, ADC
• Loreli Smith, M.D.
• Russell Turner Snow, DO
• James Allan Snyder, PHARM.D
• Samantha Suzanne Snyder, BSN, RN
• Cheryl K Sobba, N.P.
• Jaron R Soren, DC

• Psychiatric/Mental Health Nurse Practitioner in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.