David Boltson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4458 Issued in FL

Practice address

1375 Gateway Blvd Ste 31
Boynton Beach, FL 33426-8304

Phone

(561) 649-3309

Fax

(561) 570-5999

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• David Boltson, Psy,D., P.a.

  • Clinical Psychologist
  • Boynton Beach, FL
  • NPI 1417100835
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1275676637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HATTERAS CLUB DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636539",
            "telephone_number": "561-718-9590",
            "fax_number": "561-570-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD STE 31",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "561-649-3309",
            "fax_number": "561-570-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTSON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-06-06",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria Bolduc, PT
• Michael Bolenbaugh, PHARMD
• Valeria Bolivar
• Bonafide Healthcare Services LLC
• Michele Bonazzoli-Clinton, ARNP
• Ciana Bonfiglio, MS, RDN, LDN, CHES
• Stephany Bonhometre, LCSW
• Kirk Henderson Bonner, MD

• Clinical Psychologist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.