Boulder Creek Ministries

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33159 Issued in TX

Legal business name

BOULDER CREEK MINISTRIES

Practice address

1009 Falls Pkwy
Suite a
Marble Falls, TX 78654-4630

Phone

(830) 798-9820

Fax

(830) 798-9820

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Griffin, PH.D.

Title

Psychologist

Phone

(830) 798-9820

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1508045287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 FALLS PKWY",
            "address_2": "SUITE A",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544630",
            "telephone_number": "830-798-9820",
            "fax_number": "830-798-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FALLS PKWY",
            "address_2": "SUITE A",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544630",
            "telephone_number": "830-798-9820",
            "fax_number": "830-798-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CREEK MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "830-798-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11346",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Bliss, M.D.
• Kimberly Michelle Blum, APRN, AGCNS
• Piper Boies-Harris, PT, DPT
• Jimmy Dewayne Bolton Sr., D.C.
• Joan Boughey, C.N.P
• Kelli Bowman Jordan, D.C.
• Steven Patrick Bowman, M.D.
• Brooke Rockafellow Breedlove, MSN, RN, CPNP-PC
• Bright Smiles Dental III, PC (Bright Smiles Family Dentistry)
• Bright Smiles Family Dentistry Center PLLC

• Psychologist in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.