The Undiscovered Self, Pc

LBN: The Undiscovered Self, Pc
The Undiscovered Self, Pc is an health care organization with primary practice located at 1015 W Hays St Ste 205 , Boise ID 83702-5412. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. The Undiscovered Self, Pc can be contacted via phone (310) 500-6862, or through Beradino, John Anthony via phone (310) 500-6862.

Contact Information

Primary practice address
1015 W Hays St Ste 205 Boise ID 83702-5412
Phone: (310) 500-6862
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beradino, John Anthony PHD
Phone: (310) 500-6862

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1487514212
LBN Legal business name The Undiscovered Self, Pc
DBA Doing business as
Authorized official Beradino, John Anthony PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2025
Last updated Nov 14th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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