Jared John, PSY

NPI 1164300778 · on the registry since 2025

Practice

Address: 2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404
Phone: (208) 419-3002
Fax: (208) 656-5652
Organisation at this address: Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 103TS0200X
103TS0200X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho