Boles Global Telepsychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN151817 Issued in GA

Legal business name

BOLES GLOBAL TELEPSYCHIATRY

Practice address

785 King George Blvd
Suite 101
Savannah, GA 31419-9501

Phone

(912) 318-8764

NPI assigned

May 5, 2014

Last updated

Jan 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaheedah Boles, PMHNPNPI 1225381684

Title

Owner

Phone

(912) 921-8789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaheedah Boles

  • Psychiatric/Mental Health Nurse Practitioner
  • Savannah, GA
  • NPI 1225381684
  Authorized official Same address or phone

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451692800000",
    "number": "1205246899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 KING GEORGE BLVD",
            "address_2": "SUITE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199501",
            "telephone_number": "912-318-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 KING GEORGE BLVD",
            "address_2": "SUITE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199501",
            "telephone_number": "912-318-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLES GLOBAL TELEPSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2016-01-02",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "SHAHEEDAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-921-8789",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN151817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boland Eye Center PC
• Boland Women's Imaging PC
• Pamela Boland, M.D.
• Ryan Franklin Boland, M.D.
• Sidney Jefferson Bolch III, M.D.
• Shaheedah Boles
• Skylar Bolla, BCBA
• David Matthew Bond, DDS
• Denean Bonds, MSW
• Jania Bonds

• Psychiatric/Mental Health Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; 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.