Boundless Behavioral Solutions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BOUNDLESS BEHAVIORAL SOLUTIONS LLC

Practice address

4663 Stenton Ave Ste N115
Philadelphia, PA 19144-3020

Phone

(267) 251-2555

NPI assigned

Apr 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

S Booker, LBS

Title

Licensed Behavior Specialist

Phone

(267) 251-2555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1033964713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 STENTON AVE STE N115",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443020",
            "telephone_number": "267-251-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "LICENSED BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "267-251-2555",
        "authorized_official_credential": "LBS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.