CRAIG W. BEAVER


Address: 250 Bobwhite Ct Ste 220, Boise, ID 83706-3983
Phone: 2083362972

CRAIG W. BEAVER (NPI# 1225176498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225176498
Entity Type Individual
Full Name CRAIG W. BEAVER
Credential PH.D.
Practice Address 250 Bobwhite Ct Ste 220
Boise
ID 83706-3983
Practice Telephone 2083362972
Practice Fax Number 2083364408
Mailing Telephone 2083362972
Mailing Fax Number 2083364408
Enumeration Date 2007-02-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY-173 ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE SHIELD 000010016209 01
ID BLUE CROSS N1730 01

Other Providers CRAIG BEAVER

NPI Name Taxonomy Address Enumeration
1124183389 Craig Stephen Beaver Chiropractor 1937 N Military Trl, Suite D, West Palm Beach, FL 33409-4762 2006-12-27

Office Location

Street Address 250 BOBWHITE CT STE 220
City BOISE
State ID
Zip Code 83706-3983

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1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
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1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295954485 Saint Alphonsus Regional Medical Center Inc Clinical Neuropsychologist 717 N Liberty St, Boise, ID 83704-9342 2007-04-25
1952443640 Christine Pickford Clinical Neuropsychologist 1104 N 18th St, Boise, ID 83702-3321 2007-02-12
1326008053 David E Nilsson Clinical Neuropsychologist 2537 W. State St., Suite 210, Boise, ID 83702 2006-03-25
1790241404 Boise Brain Health Clinical Neuropsychologist 4696 W Overland Rd Ste 228, Boise, ID 83705-2864 2019-02-18
1215305263 Cynthia Tremblay Clinical Neuropsychologist 600 N Robbins Rd, Boise, ID 83702-4565 2015-09-08
1154665123 Merry Sylvester Clinical Neuropsychologist 1055 N Curtis Rd, Boise, ID 83706-1309 2012-11-15
1659631562 Brienne M Dyer Clinical Neuropsychologist 500 W Fort St, (b114), Boise, ID 83702-4501 2012-05-24
1275891194 David E. Nilsson, Ph.d., P.C. Clinical Neuropsychologist 950 W Bannock St Ste 1100, Boise, ID 83702-6140 2012-04-28
1316241417 Jeff Alan Sordahl Jr. Clinical Neuropsychologist 500 W Fort St, Boise, ID 83702-4501 2011-01-04
1265677298 Amy E. Latta, Ph.d., P.a. Clinical Neuropsychologist 1020 W Main St, Suite 100b, Boise, ID 83702-5789 2008-12-04
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Competitor

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City BOISE
Zip Code 83706

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Dataset Information

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.

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