Individual provider Active NPI

Alan Bolton, SCHOOL PSYCHOLOGIST

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1215331624
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SP141 Issued in OH
Practice address
8916 Fontainebleau Ter
Cincinnati, OH 45231-4806
Phone
(513) 931-0712
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SP141 OH Primary

Addresses

Primary practice location

8916 Fontainebleau Ter
Cincinnati, OH 45231-4806

Mailing address

7421 Miami Hills Dr
Cincinnati, OH 45243-1813
Phone (513) 791-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP141OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Finneytown Board of Education Past Accepting new patients
Finneytown Local School District Past Accepting new patients

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1215331624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 MIAMI HILLS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452431813",
            "telephone_number": "513-791-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 FONTAINEBLEAU TER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314806",
            "telephone_number": "513-931-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "SP141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.