Jamie Justine Boylan, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111147 Issued in CA

Practice address

2127 W Crestwood LN
Anaheim, CA 92804-6410

Phone

(714) 348-1578

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jamie Justine Remsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1396218004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W CRESTWOOD LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W CRESTWOOD LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046410",
            "telephone_number": "714-348-1578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 S Vineyard Ave",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852973502",
            "country_code": "US",
            "telephone_number": "714-348-1578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "JAMIE",
        "middle_name": "JUSTINE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "REMSEN",
            "middle_name": "JUSTINE",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Lilly Boyd-Cordova, PA-C
• Gregory Boyd
• Odette Boyd, PA
• Selene Gurbuz Boyd, MSW
• Jasmine Bree Boyer
• Kristine Lynette Boyle-Walker, P.T.
• Raquel Bozek
• BPP Medical Services Inc
• Kara Bradford, M.D.
• John Bradley

• Marriage & Family Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.