DR. STEPHEN THOMAS BUSHI (NPI# 1356336648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356336648 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN THOMAS BUSHI |
| Credential | M.D. |
| Practice Address |
1902 Judith Ln Suite 110 Boise ID 83705-5209 |
| Practice Telephone | 2086580800 |
| Practice Fax Number | 2083231894 |
| Mailing Telephone | 2086580800 |
| Mailing Fax Number | 2083231894 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2018-02-13 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
M-5492 | ID | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
M-5492 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003533000 | 05 |
| Street Address |
1902 JUDITH LN SUITE 110 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558564138 | Kimberly Spears | Nurse Practitioner | 1902 Judith Ln, Suite 110, Boise, ID 83705-5235 | 2007-06-08 |
| 1306993597 | Stephen T. Bushi, M.d. | Nurse Practitioner | 1902 Judith Ln, Suite 110, Boise, ID 83705-5235 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528488905 | Alison Joy Krause | Psychiatry & Neurology | 703 South Americana Blvd #150, Boise, ID 83702 | 2014-04-23 |
| 1750704425 | Rick Dale Turner | Psychiatry & Neurology | 3818 W Catalpa Dr, Boise, ID 83703-4265 | 2014-01-30 |
| 1477996932 | Emily Patricia Hutchison | Psychiatry & Neurology | 500 W Fort St Bldg T110, Boise, ID 83702-4501 | 2013-04-14 |
| 1730408717 | Kirsten Rose Aaland | Psychiatry & Neurology | 500 W Fort St Bldg 116, Boise, ID 83702-4501 | 2010-05-31 |
| 1649597055 | Alex Brent Wills | Psychiatry & Neurology | 950 W Bannock St Ste 1100, Boise, ID 83702-6140 | 2010-04-24 |
| 1174757140 | William Terry Gipson | Psychiatry & Neurology | 10455 Jay Rd, Boise, ID 83714-9775 | 2009-05-06 |
| 1023132420 | Eric A Simmons | Psychiatry & Neurology | 335 Allumbaugh St, Boise, ID 83704-9208 | 2007-03-19 |
| 1831261544 | William K Linson | Psychiatry & Neurology | 3445 E Boulder Heights Dr, Boise, ID 83712-8565 | 2006-11-15 |
| 1720170228 | John Robert Bates | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2006-09-29 |
| 1043206683 | Barbara J. Hagen | Psychiatry & Neurology | 413 Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2005-09-20 |
| Find all providers in BOISE | ||||
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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.