Active NPI
Britta Boekamp, PSYD LLC
- Psychologist
- Oviedo, FL
National Provider Identifier
1629477203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9678
- Practice address
- 870 Clark St Ste 1030
Oviedo, FL 32765-9270 - Phone
- (407) 494-9436
- Fax
- (407) 369-4193
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | PY9678 | FL | Primary |
Addresses
Primary practice location
870 Clark St Ste 1030
Oviedo, FL 32765-9270
Mailing address
335 N Magnolia Ave
Apt 507
Orlando, FL 32801
Phone (952) 412-6824
Other practice location 1
1802 N Alafay Trail
Suite 119
Orlando, FL 32826
Phone (407) 434-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-0819699 | Other | IRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9678 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Britta Boekamp Psy D LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oviedo, FL
- NPI 1972000123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1629477203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 N MAGNOLIA AVE",
"address_2": "APT 507",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32801",
"telephone_number": "952-412-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 CLARK ST STE 1030",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659270",
"telephone_number": "407-494-9436",
"fax_number": "407-369-4193"
}
],
"practiceLocations": [
{
"address_1": "1802 N Alafay Trail",
"address_2": "Suite 119",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32826",
"country_code": "US",
"telephone_number": "407-434-1055",
"fax_number": "407-933-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOEKAMP",
"first_name": "BRITTA",
"name_prefix": "Dr.",
"credential": "PSYD LLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY9678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "82-0819699",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.