Active NPI
Lauren Mazow Boyle, PH.D., LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Potomac, MD
National Provider Identifier
1417694258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LAUREN MAZOW BOYLE, PH.D., LLC
- Practice address
- 11325 Seven Locks Rd Ste 279B
Potomac, MD 20854-3205 - Phone
- (301) 674-5880
- NPI assigned
- May 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lauren Mazow Boyle, PH.D.
- Title
- Owner
- Phone
- (301) 674-5880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
11325 Seven Locks Rd Ste 279B
Potomac, MD 20854-3205
Mailing address
11325 Seven Locks Rd Ste 279B
Potomac, MD 20854-3205
Phone (301) 674-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11325 Seven Locks Rd
Ste 279B
Potomac, MD 20854
Phone (301) 674-5880
11325 Seven Locks Rd
Potomac, MD 20854
Phone (240) 507-5110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1417694258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11325 SEVEN LOCKS RD STE 279B",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543205",
"telephone_number": "301-674-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 SEVEN LOCKS RD STE 279B",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543205",
"telephone_number": "301-674-5880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREN MAZOW BOYLE, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "MAZOW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-674-5880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.