DR. GREGORY W. MONDIN (NPI# 1184741282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184741282 |
| Entity Type | Individual |
| Full Name | DR. GREGORY W. MONDIN |
| Credential | PH.D. |
| Practice Address |
220 W State St Boise ID 83702-6052 |
| Practice Telephone | 2083312822 |
| Practice Fax Number | 2083451947 |
| Mailing Telephone | 2083312822 |
| Mailing Fax Number | 2083451947 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY392 | ID | Behavioral Health & Social Service Providers |
| Street Address |
220 W STATE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738159 | Joan Marie Henderson | Counselor | 220 W State St, Boise, ID 83702 | 2007-04-16 |
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|---|---|---|---|---|
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| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1912948563 | Mary A Davis | Psychologist | 1221 W Hays St, Boise, ID 83702-5316 | 2006-06-08 |
| 1669466827 | David Michael Cummins | Psychologist | 1310 W Hays St, Boise, ID 83702-5025 | 2005-09-02 |
| 1720502354 | Wellspring Counseling Services, LLC | Psychologist | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2017-07-25 |
| 1801148077 | Rachel Root Phd Lp LLC | Psychologist | 671 E Riverpark Ln Ste 220, Boise, ID 83706 | 2012-10-11 |
| 1710279807 | Rachel Anne Root | Psychologist | 671 E Riverpark Ln Ste 220, Boise, ID 83706 | 2011-05-06 |
| 1205082203 | Mikaela K Sebree | Psychologist | 100 E Idaho St, Suite 200, Boise, ID 83712-6267 | 2008-08-11 |
| 1932276052 | Stephen H Hill | Psychologist | 1517 W Jefferson St, Boise, ID 83702-5218 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
| 1538583869 | Meier Clinics of California | Psychologist | 360 East Avenue, Suite 200, Ketchum, ID 83340 | 2014-02-06 |
| 1841542982 | Jeffrey Lee Elder II | Psychologist | 2335 Robison Dr, Rexburg, ID 83440-3310 | 2012-10-14 |
| 1073748950 | Nancy Sasse Sasser | Psychologist | 1060 Showalter Rd, Moscow, ID 83843-9199 | 2009-05-21 |
| 1578732293 | Melissa A Boley | Psychologist | 333 South Main St Ste 104, Ketchum, ID 83340 | 2008-02-27 |
| 1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
| 1528105624 | Laura Mckee Psy D L L C | Psychologist | 158 North 1st East Street, Driggs, ID 83422 | 2007-01-30 |
| 1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
| 1942368253 | Carl D. Haugen | Psychologist | 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 | 2006-12-05 |
| 1124191895 | Laura Mckee | Psychologist | 158 North First East Street, Driggs, ID 83422 | 2006-11-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.