NPIMap

Organization Active NPI

Nancy Duff-Boehm, PHD & Asssociates LLC

Doing business as Action Recovery

  • Clinical Psychologist
  • North Olmsted, OH
National Provider Identifier
1245386036
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NANCY DUFF-BOEHM, PHD & ASSSOCIATES LLC
Doing business as
Action Recovery
Practice address
26777 Lorain Rd Ste 716
North Olmsted, OH 44070-3221
Phone
(440) 777-9200
Fax
(440) 777-9288
NPI assigned
Jan 26, 2007
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Nancy J Duff-BoehmNPI 1730105362
Title
Executive Director
Phone
(216) 464-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

26777 Lorain Rd Ste 716
North Olmsted, OH 44070-3221

Mailing address

26777 Lorain Rd Ste 716
North Olmsted, OH 44070-3221
Phone (440) 777-9200

Other practice location 1

21403 Chagrin Blvd Ste 105
Beachwood, OH 44122-5322
Phone (216) 464-5700

Other names 1

  • Action Recovery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2162985Nancy Duff Boehm PHD26777 Lorain Rd, North Olmsted, OH 44070Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1245386036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703221",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703221",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21403 Chagrin Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225322",
            "country_code": "US",
            "telephone_number": "216-464-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NANCY DUFF-BOEHM, PHD & ASSSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "DUFF-BOEHM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-464-5700"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Action Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.