Elisabeth Boersma, Psy.D.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

9495 Issued in MA

Legal business name

ELISABETH BOERSMA, PSY.D.

Practice address

10 Langley Rd
Suite 401
Newton Center, MA 02459-1972

Phone

(617) 690-9322

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Elisabeth Boersma

Title

Clinical Psychologist

Phone

(617) 690-9322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1487082517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LANGLEY RD",
            "address_2": "SUITE 401",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591972",
            "telephone_number": "617-690-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LANGLEY RD",
            "address_2": "SUITE 401",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591972",
            "telephone_number": "617-690-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH BOERSMA, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BOERSMA",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-690-9322"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "9495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert I Cohen, M.D.
• David Alan Danforth, PH.D.
• Datta Consultants LLC
• Suzanne H Diamond, SCD SLP-C
• Krista Dilorenzo
• Empowered Psychiatry PLLC
• Latonya Engon-Zibi, LMHC, MS, MDIV, CAGS
• Scott E Ewing, D.O.
• Amy Feinerman
• Judith Sheolie Fernando, M.D.

• Community/Behavioral Health Agency in Newton Center, MA
• Providers in Newton Center, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.