Rodney Paul Boone, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10046 Issued in CA

Practice address

25500 Hawthorne Blvd Ste 2110
Torrance, CA 90505-6835

Phone

(310) 375-4855

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1477588705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 HAWTHORNE BLVD STE 2110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056835",
            "telephone_number": "310-375-4855",
            "fax_number": "310-375-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 HAWTHORNE BLVD STE 2110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056835",
            "telephone_number": "310-375-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "RODNEY",
        "middle_name": "PAUL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "PSY100460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Anthony Bonnel, L.M.F.T.
• Alexandra Bonnell, MD
• Ashley Bonzell
• Allen Bookatz, M.D.
• Kyle Boone, PH.D
• Sittiporn Boontung, M.D.
• Elija Sean Booth
• Marquisha Booth
• Princess Gladys Ferrer Bordador, M.D.
• Peter S Borden, MD

• Psychologist in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.