Advantage Psychological Services, PLLC
NPI 1336333152ActiveOrganization· Psychologist, Clinical· Boise, ID
Psychologist, Clinical in Boise, Idaho, registered in NPPES in September 2007. The authorized official on file is Allison Etnyre, PSY.D., Licensed Clinical Psychologist.
Overview
| NPI | 1336333152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2007 |
| Last updated in NPPES | Nov 15, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-202238 | ID |
| Psychologist, Clinical | 103TC0700X | PSY-323 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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