Active NPI
Tamar Boswell
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1649762634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF91734
- Practice address
- 1742 Oregon St
Redding, CA 96001-1717 - Phone
- (530) 226-7419
- NPI assigned
- Jun 5, 2018
- Last updated
- Jun 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF91734 | CA | Primary |
Addresses
Primary practice location
1742 Oregon St
Redding, CA 96001-1717
Mailing address
333 E Arrow Hwy Unit 1174
Upland, CA 91785-7046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124429 | CA | MD | Social Worker |
| IMF91734 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Minds Medical, Inc. | Current | Accepting new patients |
Locations
13300 New Airport Rd
Ste 100
Auburn, CA 95602
Phone (530) 888-4557
381A Nevada St
Auburn, CA 95603
Phone (530) 368-0571
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCJEBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beautiful Minds Wellness
- Psychiatry Physician
- Auburn, CA
- NPI 1306144837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1649762634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E ARROW HWY UNIT 1174",
"city": "UPLAND",
"state": "CA",
"postal_code": "917857046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 OREGON ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011717",
"telephone_number": "530-226-7419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "TAMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF91734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.