Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386371235 Individual Practitioner Female Practitioner

Amanda Jack

Psychologist • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Amanda Jack is a registered healthcare professional specializing in Psychologist in Meridian, ID. Practice services are available at 2463 E GALA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2463 E Gala St

Meridian, ID 836425209

Telephone 2089557333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
26 Specialists

Practicing in Meridian, ID (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Dr. Jeffrey Hall , PhD

Psychologist - Clinical

NPI 1053568816

Doctor of Philosophy (Ph.D.)

Logan Wahl

Psychologist

NPI 1083508394
NPI 1124732060
NPI 1134894827
Abigail Boesiger

Occupational Therapist - Pediatrics

NPI 1134986847
Deana Zamzow

Occupational Therapist

NPI 1194053066

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2022

Registered at 2463 E GALA ST, MERIDIAN, ID 836425209 (Tel: 2089557333)

📍
Updated Business Mailing Address August 02, 2022

Registered at 2067 W HEDGEROW ST, KUNA, ID 836343195 (Tel: 8014735406)

👤
Provider Name / Credentials Updated August 02, 2022

Recorded as AMANDA JACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2022

Counselor

🟢
Initial NPI Registration & Enumeration August 02, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386371235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2022
Last Update: August 02, 2022
Sole Proprietor: Yes

Mailing Address

2067 W Hedgerow St

Kuna, ID 836343195

Phone: 8014735406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.