David Boltson, Psy,D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DAVID BOLTSON, PSY,D., P.A.

Practice address

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

Phone

(561) 649-3309

Fax

(561) 570-5999

NPI assigned

Oct 29, 2008

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Boltson, PSYDNPI 1275676637

Title

Psychologist

Phone

(561) 649-3309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• David Boltson, PSY.D.

  • Clinical Psychologist
  • Boynton Beach, FL
  • NPI 1275676637
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1417100835",
    "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": {
        "organization_name": "DAVID BOLTSON, PSY,D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2024-06-04",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BOLTSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-649-3309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.