| Michaela Shields, PSYD | |
|
600 N Robbins Rd Ste 100, Boise, ID 83702-4539 | |
| (208) 381-9037 | |
| (208) 385-3616 |
| Full Name | Michaela Shields |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 600 N Robbins Rd Ste 100, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053033282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9871472 (Idaho) | Primary |
| 103TC0700X | Psychologist - Clinical | 12966160-2504 (Utah) | Secondary |
| Entity Name | State Of Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Shields, PSYD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Michaela Shields, PSYD 600 N Robbins Rd Ste 100, Boise, ID 83702-4539 Ph: (208) 381-9037 |
Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048 | |
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008 | |
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 |