Heide L Hausken, ED.S, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

34419 Issued in ID

Practice address

3500 W Scenic Dr
Boise, ID 83703-4725

Phone

(208) 340-0930

NPI assigned

Apr 2, 2022

Last updated

Jun 5, 2024By 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 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1972244291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W SCENIC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034725",
            "telephone_number": "208-340-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W SCENIC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034725",
            "telephone_number": "208-340-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSKEN",
        "first_name": "HEIDE",
        "middle_name": "L",
        "credential": "ED.S, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "ID",
            "license": "EDUID552776347",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "439884H",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "ID",
            "license": "34419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL CERTIFICATE/ LICENSE",
            "identifier": "EDUID552776347",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL CERTIFICATE/ LICENSE",
            "identifier": "439884H",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED SCHOOL PSYCHOLOGIST",
            "identifier": "34419",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BOISE",
            "affiliation": "N",
            "endpointDescription": "billing",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "BOISE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "billing",
            "address_1": "3500 W Scenic Dr",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837034725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• School Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• School Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.