NPPES file of Aug 9, 2026

Mardi Stacy, PH.D.

Clinical Psychologist · Boise, ID

Mardi Stacy, PH.D. is a clinical psychologist with a practice address in Boise, Idaho, and NPI 1417025974, issued on Dec 1, 2006. Check the license (Idaho PSY-429, as entered in NPPES) with the Idaho board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417025974
Name
Mardi Stacy
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
PSY-429 ID
Self-reported in NPPES; status is on the state search
Practice location
1718 W Jefferson St, Boise, ID 83702
Phone
(208) 424-8130
Enumerated
Dec 1, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(208) 424-8137
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1718 W Jefferson St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Renee Bild, MSWClinical Social Worker1598725277

Verify Mardi Stacy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PSY-429
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

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Mardi Stacy among 195 clinical psychologist records in Idaho

Mardi Stacy, PH.D. is one of 195 clinical psychologist records with a practice address in Idaho. 17% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 74% newer
  • In a Medicare fileNo · 17% of these records are
  • In the CMS Doctors and Clinicians fileNo · 27% of these records are
  • Record last updated2007 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Idaho

There are 195 clinical psychologist records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Paula Barrett, PSYD, LCSWBoise, ID 837021003919259
  2. Steven Brown, PHDBoise, ID 837021306930896
  3. Janelle Eckhardt, PHDBoise, ID 837021407900772
  4. Carrie Eichberg, PSY.D.Boise, ID 837021942382015
  5. Susan Farber, PHDBoise, ID 837021982772117
  6. Judy Lam, PH.D.Boise, ID 837021831131945
  7. Sheila Matthews, PHDBoise, ID 837021073668992
  8. Michael McClay, PH.D.Boise, ID 837021356364111

Common questions

What is Mardi Stacy, PH.D.'s NPI number?

Mardi Stacy, PH.D.'s National Provider Identifier (NPI) is 1417025974, issued on Dec 1, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Mardi Stacy, PH.D. located?

The NPPES record lists a practice address at 1718 W Jefferson St, Boise, ID, 83702. Phone: (208) 424-8130. Providers update this record themselves, so call before visiting.

How can I verify Mardi Stacy, PH.D.'s license?

NPPES lists Idaho license number PSY-429, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.