Healthcare Provider Details

I. General information

NPI: 1376475509
Provider Name (Legal Business Name): VATIENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 W BANNOCK ST STE 100
BOISE ID
83702-6050
US

IV. Provider business mailing address

784 S CLEARWATER LOOP STE 4333
POST FALLS ID
83854-9599
US

V. Phone/Fax

Practice location:
  • Phone: 208-415-1544
  • Fax: 800-776-5326
Mailing address:
  • Phone: 208-415-1544
  • Fax: 800-776-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAMSEY SAMY
Title or Position: CLINICAL PHARMACIST
Credential: PHARMD
Phone: 201-788-9004