Melody Ann Boling, LCSW

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

001136 Issued in MO

Practice address

1 Hospital Dr # Dc067.00
Department of Psychiatry
Columbia, MO 65212-1000

Phone

(573) 884-1236

Fax

(573) 884-5936

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1548664964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # DC067.00",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-1236",
            "fax_number": "573-884-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # DC067.00",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-1236",
            "fax_number": "573-884-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bogue, M.ED., LPC
• Richard Stanley Bohon, DDS
• Tiffany Melissa Bohon, M.D.
• Rebecca Boldt, DC
• Shane Bolina, MD
• Olivia Louise Bolles, MD
• Debra Jean Bolton, PT
• Meghan Boltz, RPH
• Marilee Green Bomar, MSN
• Charles P. Bondurant, M.D.

• Child & Adolescent Psychiatry Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Child & Adolescent Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.