Active NPI
Charlotte G Boston
- Art Therapist
- Pikesville, MD
National Provider Identifier
1346867173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- ATC112
- Practice address
- 124 Slade Ave
Pikesville, MD 21208-4900 - Phone
- (410) 855-4448
- Fax
- (443) 548-2800
- NPI assigned
- Jun 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | ATC112 | MD | Primary |
Addresses
Primary practice location
124 Slade Ave
Pikesville, MD 21208-4900
Mailing address
124 Slade Ave
Pikesville, MD 21208-4900
Phone (410) 855-4448
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PIKESVILLE | ||
| Other URL | PIKESVILLE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ATC112 | MD | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593216000000",
"number": "1346867173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SLADE AVE",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084900",
"telephone_number": "410-855-4448",
"fax_number": "443-548-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SLADE AVE",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084900",
"telephone_number": "410-855-4448",
"fax_number": "443-548-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTON",
"first_name": "CHARLOTTE",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-27",
"last_updated": "2020-06-27",
"certification_date": "2020-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MD",
"license": "ATC112",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PIKESVILLE",
"affiliation": "N",
"address_1": "124 Slade Ave",
"city": "Pikesville",
"state": "MD",
"country_code": "US",
"postal_code": "212084900",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PIKESVILLE",
"affiliation": "N",
"address_1": "124 Slade Ave",
"city": "Pikesville",
"state": "MD",
"country_code": "US",
"postal_code": "212084900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.