Samantha Boardman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

222167 Issued in NY

Practice address

980 Madison Ave RM 207
New York, NY 10075-1848

Phone

(212) 535-1370

Fax

(917) 591-2338

NPI assigned

Nov 13, 2006

Last updated

Sep 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1528139185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E 68TH ST",
            "address_2": "2ND FLOOR SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MADISON AVE RM 207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751848",
            "telephone_number": "212-535-1370",
            "fax_number": "917-591-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDMAN",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "222167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Boar, MSW, LCSW
• Tamsin Board, MD
• Alexander Paul Boardman, MD
• Courtney Boardman, NP
• Michael Boardman, MA, BCBA
• Daniel Alejandro Alonso Boaretto
• Hallie Sarah Boas, LMHC
• Rebecca Boas, MD MBA
• Samuel J Boas, MD
• Samuel Robert Boas, MD

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.