MEDICARE: OPTIMIZATION PSYCHOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1386596815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMIZATION PSYCHOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	208-589-5067
Fax Number	:

Provider Business Practice Location Address
First Line	:	1085 WHITE BIRCH AVENUE
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301
Country	:	US
Telephone Number	:	208-589-5067
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEVIN MERRITT
Credential	:	PHD
Telephone Number	:	208-589-5067

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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