Organization · Type 2 NPI
New Age Med Clinic
Behavioral Neurology & Neuropsychiatry Physician · Boise, ID
NPI number
1831065481
Active
Practice location
3501 W Elder St Ste 102
Boise, ID 83705-4986
Mailing address
4320 W Edgemont St
Boise, ID 83706-2304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Behavioral Neurology & Neuropsychiatry Physician Primary | 2084B0040X | None listed |
Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Other behavioral neurology & neuropsychiatry physician providers in Boise
About NPI 1831065481
New Age Med Clinic's National Provider Identifier is 1831065481, issued on Oct 13, 2025. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Boise, ID. The record was last updated on Aug 12, 2026.