Lori Gray Boothroyd PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301012397 Issued in MI

Legal business name

LORI GRAY BOOTHROYD PLLC

Practice address

12935 S West Bay Shore Dr
Suite 200
Traverse City, MI 49684-6298

Phone

(231) 929-4722

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lori Boothroyd, PH.D.

Title

Licensed Psychologist

Phone

(231) 929-4722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1508001090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 S PARTRIDGE RUN DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848485",
            "telephone_number": "231-929-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846298",
            "telephone_number": "231-929-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI GRAY BOOTHROYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "BOOTHROYD",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "231-929-4722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301012397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Loose, MOTRL
• Debra Lopez
• Maria Jose Lopez
• Lorah L Wright DO PLLC
• John Christopher Lorentson, MD
• Isabel Lorton, LPC
• Ann Marie Love, PHD
• Rob R Lovell, DDS
• Euniecia Tracy Lovely-Snyder, LPN
• Dorothy Catherine Low, NP

• Community/Behavioral Health Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.