Active NPI
John L. Bolling, M.D.
- Psychiatric Hospital
- New York, NY
National Provider Identifier
1487056792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 104449-1
- Legal business name
- JOHN L. BOLLING, M.D.
- Practice address
- 203 W 138TH St
New York, NY 10030-2102 - Phone
- (212) 281-9939
- Fax
- (212) 281-9939
- NPI assigned
- Sep 17, 2014
- 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. John Lawrence Bolling, M.D.
- Title
- Psychiatrist
- Phone
- (212) 281-9939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 104449-1 | NY | Primary |
Addresses
Primary practice location
203 W 138TH St
New York, NY 10030-2102
Mailing address
203 W 138TH St
New York, NY 10030-2102
Phone (212) 281-9939
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410912000000",
"number": "1487056792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W 138TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302102",
"telephone_number": "212-281-9939",
"fax_number": "212-281-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W 138TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302102",
"telephone_number": "212-281-9939",
"fax_number": "212-281-9939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L. BOLLING, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A",
"authorized_official_last_name": "BOLLING",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "212-281-9939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NY",
"license": "104449-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.