Boodah, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BOODAH, INC

Doing business as

Mindful Paths Psychological Testing

Practice address

32 Court St Ste 7
Plymouth, MA 02360-8733

Phone

(774) 426-7707

Fax

(800) 593-2560

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Amy Sowa

Title

VP of Finance

Phone

(413) 205-8617

Specialties & licenses 5

Addresses

Other names 1

• Mindful Paths Psychological Testing Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Boodah Inc2 organizations share this tax ID, including this one

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Glen Laster, LPC

  • Mental Health Counselor
  • Plymouth, MA
  • NPI 1528404654
  Medicare reassignment Care Compare group NPD
• Colleen F. Long, PSY.D.

  • Clinical Psychologist
  • North Reading, MA
  • NPI 1558662445
  Medicare reassignment Care Compare group NPD
• Lauren Powell, LCSW

  • Clinical Social Worker
  • Framingham, MA
  • NPI 1285304980
  Medicare reassignment Care Compare group NPD
• Jennifer Anne Benger, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Worcester, MA
  • NPI 1346729514

  Single Specialty

  NPD
• Ryan Gazzola, PH.D

  • Psychologist
  • Cambridge, MA
  • NPI 1477760775
  NPD
• Cynthia Ann Pearson, LICSW

  • Clinical Social Worker
  • South Weymouth, MA
  • NPI 1740568096
  NPD
• Leah Sciaba, PSYD

  • Psychologist
  • Whitman, MA
  • NPI 1578751897
  NPD
• Catherine Smail

  • Psychologist
  • Lawrence, MA
  • NPI 1821422304
  NPD
• Gwyne White

  • Psychologist
  • Beverly, MA
  • NPI 1861088312
  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1104390525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DWIGHT RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062075",
            "telephone_number": "774-500-3837",
            "fax_number": "800-593-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 7",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608733",
            "telephone_number": "774-426-7707",
            "fax_number": "800-593-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Andover St Ste 125",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455070",
            "country_code": "US",
            "telephone_number": "774-500-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOODAH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "SOWA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "413-205-8617",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Paths Psychological Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Jean Bolden, M.ED., LMHC
• Emilyann Marie Bolia
• Megan M Bolia, B.A. PSYCHOLOGY
• Maryanne C Bombaugh, M.D.
• Richard J Bond Jr., LICSW
• Rose Borges, M.A.
• Anthony Thomas Borgia, DDS
• Boston DME Supply LLC
• Boston Psychiatric Services PLLC
• Boston Vamc

• Clinical Psychologist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.