Individual provider Active NPI

Sara Boilen, PSYD

  • Psychologist
  • Whitefish, MT
National Provider Identifier
1669712543
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1196 Issued in MT
Practice address
245 2ND St W
Whitefish, MT 59937-3006
Phone
(406) 662-1771
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1196 MT
Psychologist 103T00000X 1196 MT Primary

Addresses

Primary practice location

245 2ND St W
Whitefish, MT 59937-3006

Mailing address

188 Moonridge Dr
Whitefish, MT 59937-8792
Phone (406) 662-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815002954 MT Practitioner - Clinical Psychologist 8729328042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1196MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Boilen, PSYD, PLLC Psychologist CurrentSince Nov 1, 2020 Accepting new patients

Locations

245 W 2nd St
Whitefish, MT 59937
Phone (406) 298-5728

144 W 2nd St
Unit A
Whitefish, MT 59937
Phone (406) 224-4106

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.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1669712543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MOONRIDGE DR",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378792",
            "telephone_number": "406-662-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 2ND ST W",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373006",
            "telephone_number": "406-662-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOILEN",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "1196",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.