Individual provider · Type 1 NPI

Mikaela Overton Smith, PhD

Psychologist · Boise, ID

NPI number 1154920429 Active

Practice location

1075 E Park Blvd
Boise, ID 83712-7722

Call (208) 381-5970 Map

Fax (208) 381-5971

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X6352000475 (MI)
Psychologist Primary 103T00000X6261175 (ID)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1154920429

Mikaela Overton Smith, PhD's National Provider Identifier is 1154920429, issued on Oct 19, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Boise, ID. The record was last updated on Jul 9, 2026.