NPIMap

Organization Active NPI

Sara Boilen, PSYD, PLLC

  • Psychologist
  • Whitefish, MT
National Provider Identifier
1477070738
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1196 Issued in MT
Legal business name
SARA BOILEN, PSYD, PLLC
Practice address
144 2ND St W Unit a
Whitefish, MT 59937-3075
Phone
(406) 662-1771
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sara Boilen, PSYD
Title
Owner
Phone
(406) 662-1771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 18309 MT
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1196 MT Primary

Addresses

Primary practice location

144 2ND St W Unit a
Whitefish, MT 59937-3075

Mailing address

50 2ND St W Ste 300
Whitefish, MT 59937-3067
Phone (406) 662-1771

Other practice location 1

500 12th Ave W # 2B
Columbia Falls, MT 59912-3818
Phone (406) 298-5728

Other identifiers 1

IdentifierTypeStateIssuer
7209748MedicaidMT

Other names 1

  • Sweetgrass Psychological a services Doing business as

National Provider Directory

National Provider Directory

Locations

500 12th Ave W
Ste 2B
Columbia Falls, MT 59912
Phone (406) 208-8312

50 W 2nd St
Ste 300
Whitefish, MT 59937

144 W 2nd St
Unit A
Whitefish, MT 59937
Phone (406) 224-4106

Practitioners & affiliated clinicians

Practitioners 5

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": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477070738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 2ND ST W STE 300",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373067",
            "telephone_number": "406-662-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 2ND ST W UNIT A",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373075",
            "telephone_number": "406-662-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 12th Ave W # 2B",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599123818",
            "country_code": "US",
            "telephone_number": "406-298-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARA BOILEN, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "BOILEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-662-1771",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "18309",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MT",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7209748",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetgrass Psychological a services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.