DR. MICHAEL LOREN HILLAM (NPI# 1982738563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982738563 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LOREN HILLAM |
| Credential | PSY.D. |
| Practice Address |
4696 W Overland Rd Ste 156 Boise ID 83705-2878 |
| Mailing Address |
4696 W Overland Rd Ste 156 Boise ID 83705-2878 |
| Practice Telephone | 2085776617 |
| Practice Fax Number | 2085776617 |
| Mailing Telephone | 2085776617 |
| Mailing Fax Number | 2085776617 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-202427 | ID | Behavioral Health & Social Service Providers |
| Street Address |
4696 W OVERLAND RD STE 156 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-2878 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164723 | Krystal Anne Wood | Psychologist | 605 E Holly St Apt 206, Boise, ID 83712-7882 | 2020-04-27 |
| 1467994616 | Heather Eskridge Hoyt Phd LLC | Psychologist | 671 E Riverpark Lane Ste 220, Boise, ID 83706-6559 | 2016-11-04 |
| 1144771338 | Heather E Hoyt | Psychologist | 671 E Riverpark Ln, Suite 220, Boise, ID 83706-6559 | 2016-10-22 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1518102797 | Northwest Neurobehavioral Health Pllc | Psychologist | 6003 Overland Rd Ste 301, Boise, ID 83709-3077 | 2008-12-02 |
| 1225222433 | Ronald B Tye | Psychologist | 6003 Overland Rd, Suite 301, Boise, ID 83709-3073 | 2007-08-30 |
| 1174716005 | Keith Lee Williams | Psychologist | 3771 N Eagle Rd, Boise, ID 83713-5005 | 2007-08-23 |
| 1629107321 | Center for Christian Therapy, Inc. | Psychologist | 3631 W Overland Rd, Boise, ID 83705-6033 | 2007-03-06 |
| 1093844474 | Jay W. Webb, Ph.d., P.a. | Psychologist | 2304 N. Cole Rd., Suite B, Boise, ID 83704 | 2007-03-03 |
| 1407900772 | Janelle Ruth Eckhardt | Psychologist | 1524 W Hays St, Suite 202, Boise, ID 83702-4035 | 2007-01-23 |
| 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.