Active NPI
Deborah Bolin, RAS
- Addiction (Substance Use Disorder) Counselor
- Burlingame, CA
National Provider Identifier
1003243247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- B0509221152
- Practice address
- 826 Mahler Rd
Burlingame, CA 94010-1604 - Phone
- (650) 689-5597
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | B0509221152 | CA | Primary |
Addresses
Primary practice location
826 Mahler Rd
Burlingame, CA 94010-1604
Mailing address
610 Elm St
Suite 212
San Carlos, CA 94070-8401
Phone (650) 591-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B0509221152 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1003243247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 ELM ST",
"address_2": "SUITE 212",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940708401",
"telephone_number": "650-591-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 MAHLER RD",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940101604",
"telephone_number": "650-689-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLIN",
"first_name": "DEBORAH",
"credential": "RAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "B0509221152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.