Kathryn Boza

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4649 Ponce de Leon Blvd Ste 404
Coral Gables, FL 33146-2121

Phone

(786) 536-9714

NPI assigned

Sep 1, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Abcs for Success, LLC

  • Community/Behavioral Health Agency
  • Coral Gables, FL
  • NPI 1043537160
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1568182103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331436240",
            "telephone_number": "786-546-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 PONCE DE LEON BLVD STE 404",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462121",
            "telephone_number": "786-536-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZA",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Business",
            "affiliation": "N",
            "address_1": "4649 Ponce De Leon Blvd Ste 404",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331462121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arturo Agustin Boucugnani, P.T.
• Scott Earle Bourne, M.D.
• Kathleen M Bower, P.T
• Sara Bowman, M.S.
• Michelle Boykin, MD
• Jacqueline Bradley, M.D.
• Kiara Ann Bradley
• Elizabeth Brador, ARNP
• Brain Health & Rehabilitation Corp
• Johann Paul Braithwaite, DO

• Mental Health Counselor in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.