Individual provider Active NPI

Joan Annette Boes, PHD

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1154401834
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002462 Issued in VA
Practice address
1250 S Washington St
Unit 509
Alexandria, VA 22314-4431
Phone
(703) 519-7021
Fax
(703) 299-0716
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002462 VA Primary

Addresses

Primary practice location

1250 S Washington St
Unit 509
Alexandria, VA 22314-4431

Mailing address

1250 S Washington # 509
Alexandria, VA 22314-4455
Phone (703) 519-7021

Other identifiers 6

IdentifierTypeStateIssuer
229329000OtherVAMAGELLAN
103437OtherVAANTHUM
J5100001OtherVACARE FIRST BCBS
127238OtherVAVALVE OPTIONS
3399339OtherVAAETNA BCBS
463586OtherVAMAMSI MDIPA OPTIMUM CHOIC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040603000785 DC Practitioner - Clinical Psychologist 3274515291 Practice locations: Alexandria, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 S Washington St
Unit 509
Alexandria, VA 22314-4431

2121 Eisenhower Ave
Suite 402
Alexandria, VA 22314-4688
Phone (703) 299-0713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810002462VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Boes Clinical CurrentSince Nov 26, 2012 Accepting new patients
Allied Behavioral Services, Inc Past Accepting new patients

Locations

2121 Eisenhower Ave
Ste 402
Alexandria, VA 22314
Phone (703) 519-7021

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1154401834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON # 509",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144455",
            "telephone_number": "703-519-7021",
            "fax_number": "703-299-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON ST",
            "address_2": "UNIT 509",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144431",
            "telephone_number": "703-519-7021",
            "fax_number": "703-299-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOES",
        "first_name": "JOAN",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "229329000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHUM",
            "identifier": "103437",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "J5100001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALVE OPTIONS",
            "identifier": "127238",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BCBS",
            "identifier": "3399339",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI MDIPA OPTIMUM CHOIC",
            "identifier": "463586",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.