Anne Boling, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003065 Issued in VA

Practice address

8348 Traford Lane
Suite102
Springfield, VA 22152

Phone

(703) 569-8731

Fax

(703) 569-7248

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Clinical Services

  • Clinical Psychologist
  • Springfield, VA
  • NPI 1073522124

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144324237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LANE",
            "address_2": "SUITE102",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LANE",
            "address_2": "SUITE102",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Logic Chiropractic LLC
• Bogacki & Bogacki DDS PC
• Katherine Rose Bogacki, DDS
• Russell Edward Bogacki, DDS
• Colleen Boland
• Ashani Bolton
• Vanessa Bonanno
• Daniel Boner
• Angela Luzio Boone, PH.D.
• Alexandra E Booth, MD

• Clinical Psychologist in Springfield, VA
• Providers in Springfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.