Individual provider Active NPI

Timothy B Boling, PH.D.

  • Psychologist
  • Waco, TX
National Provider Identifier
1457484891
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8401 Old McGregor Rd
Waco, TX 76712-6495
Phone
(254) 751-1550
Fax
(254) 751-9291
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

8401 Old McGregor Rd
Waco, TX 76712-6495

Mailing address

8401 Old McGregor Rd
Waco, TX 76712-6495
Phone (254) 751-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220131000298 TX Practitioner - Clinical Psychologist 7012236813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Psychological AssociatesGroup PAC ID 7810078920, 13 clinicians

Practice addresses (Care Compare)

8401 Old McGregor Rd
Waco, TX 76712-6495
Phone (254) 751-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Armo Diagnostics LLC CurrentSince Mar 1, 2021 Accepting new patients
Waco Psychological Associates Psychologist CurrentSince Feb 1, 2022 Accepting new patients

Locations

7550 Highway 107
Sherwood, AR 72120
Phone (501) 454-3451

8401 Old McGregor Rd
Woodway, TX 76712
Phone (254) 751-1550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1457484891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.