Michael Boltwood, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

6000 Whale Dancer CT NE
Suquamish, WA 98392-9648

Phone

(360) 698-1321

Fax

(360) 308-0447

NPI assigned

Oct 26, 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

Enrolled in WA

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Michael Boltwood , Inc

  • Psychologist
  • Suquamish, WA
  • NPI 1427231307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1487739694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2324",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983832324",
            "telephone_number": "360-698-1321",
            "fax_number": "360-308-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WHALE DANCER CT NE",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929648",
            "telephone_number": "360-698-1321",
            "fax_number": "360-308-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTWOOD",
        "first_name": "MICHAEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069149",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B Young Counseling
• Angela K Barr
• Carl Russell Botefuhr, DC
• Sable Elizabeth Bruce, M.A.
• Brian Graham Burwell, CDPT
• Jenny L Carr, LMP
• Rebecca Carr

• Psychologist in Suquamish, WA
• Providers in Suquamish, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.