Healthcare Provider Details

I. General information

NPI: 1386596815
Provider Name (Legal Business Name): OPTIMIZATION PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 WHITE BIRCH AVENUE
TWIN FALLS ID
83301
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 208-589-5067
  • Fax:
Mailing address:
  • Phone: 208-589-5067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DEVIN MERRITT
Title or Position: OWNER
Credential: PHD
Phone: 208-589-5067