Active NPI
Amanda Lyn Boehm, MA, ATR
- Art Therapist
- Allentown, PA
National Provider Identifier
1003469065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 20-010
- Practice address
- 1347 Hausman Rd
Allentown, PA 18104-9063 - Phone
- (610) 573-2500
- NPI assigned
- Jul 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | PA | ||
| Art Therapist | 221700000X | 20-010 | PA | Primary |
Addresses
Primary practice location
1347 Hausman Rd
Allentown, PA 18104-9063
Mailing address
102 N 4TH St Apt 2
Emmaus, PA 18049-2717
Phone (908) 283-0361
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-010 | PA | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1003469065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N 4TH ST APT 2",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180492717",
"telephone_number": "908-283-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 HAUSMAN RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049063",
"telephone_number": "610-573-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "AMANDA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "MA, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "PA",
"license": "20-010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.