Lori Boothroyd, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301012397 Issued in MI

Practice address

12935 S West Bay Shore Dr
Suite 200
Traverse City, MI 49684-6298

Phone

(231) 929-4722

NPI assigned

Nov 14, 2008

Last updated

Aug 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

• Lori Gray Boothroyd PLLC

  • Community/Behavioral Health Agency
  • Traverse City, MI
  • NPI 1508001090
  Authorized official Same address or phone

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1255585436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 S PARTRIDGE RUN DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848485",
            "telephone_number": "231-929-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846298",
            "telephone_number": "231-929-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHROYD",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301012397",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6301012397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Leann Boomer Scott, O.D.
• Johnathan Boonstra
• Lindy Ann Boonstra, LLBSW
• Abigail Maria Boonzaaijer, COTA/L, CDP
• Alyson M Booth, MD
• Katharene May Bopry
• Leah Borchardt, MA, LLPC
• Borealis Plastic Surgery, PLLC
• Thomas William Borgeld, PH.D.
• Brooke Alice Borgeson-Gray, NP

• Counseling Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.