Boys Town Washington DC, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BOYS TOWN WASHINGTON DC, INC.

Practice address

10750 Columbia Pike Ste 502
Silver Spring, MD 20901-4460

Phone

(202) 650-6361

Fax

(202) 250-6362

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Stacia Jean Shearman

Title

Credentialing Specialist

Phone

(531) 355-8104

Specialties & licenses 1

Addresses

Tax ID family

Boys Town Washington DC Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Boys Town Washington DC, Inc.

  • Psychologist
  • Largo, MD
  • NPI 1821797812
  NPD tax ID
• Boys Town Washington DC, Inc.

  • Psychologist
  • Washington, DC
  • NPI 1144604638
  NPD tax ID

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1134828130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SARGENT RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172841",
            "telephone_number": "202-650-6361",
            "fax_number": "202-250-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 502",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014460",
            "telephone_number": "202-650-6361",
            "fax_number": "202-250-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS TOWN WASHINGTON DC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SHEARMAN",
        "authorized_official_first_name": "STACIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "531-355-8104"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andria Boykin
• Regina Yvette Boykin
• Winsome Boykin
• Jonay Boylan
• Boyo Healthcare Services LLC
• Kayla Bracey
• Leora Alane Braden Ibraheem
• Kathleen Bradley, LCSW-C
• Christine Bradshaw
• Brain Spark Learning Center

• Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.