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New Age Med Clinic

Behavioral Neurology & Neuropsychiatry Physician in Boise, ID · enumerated 2025 · authorized official James Donnelly, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831065481

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Registry record

Entity type Organization (Type 2)
Legal business name New Age Med Clinic
Practice address 3501 W Elder St Ste 102, Boise, ID, 83705
Enumeration date Oct 13, 2025
Last updated in NPPES Oct 13, 2025

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
171400000X Health & Wellness Coach Other Service Providers Secondary
2084B0040X Behavioral Neurology & Neuropsychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name James Donnelly
Title Co-Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is New Age Med Clinic?
New Age Med Clinic is registered in NPPES as a Behavioral Neurology & Neuropsychiatry Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-13.