Active NPI
Tara Boswell
- Psychologist
- Reno, NV
National Provider Identifier
1710115142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0855
- Practice address
- 180 W Huffaker LN # 302-303
Reno, NV 89511 - Phone
- (775) 391-0521
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI0120 | NV | |
| Psychologist | 103T00000X | PY0855 | NV | Primary |
Addresses
Primary practice location
180 W Huffaker LN # 302-303
Reno, NV 89511
Mailing address
45 California Ave Apt 11
Reno, NV 89509-1618
Phone (602) 502-0161
Other practice location 1
480 Galletti Way
Sparks, NV 89431-5564
Phone (775) 688-3340
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 |
|---|---|---|---|
| PY0855 | NV | MD | Psychologist |
| MI0120 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1710115142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CALIFORNIA AVE APT 11",
"city": "RENO",
"state": "NV",
"postal_code": "895091618",
"telephone_number": "602-502-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W HUFFAKER LN # 302-303",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-391-0521"
}
],
"practiceLocations": [
{
"address_1": "480 Galletti Way",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894315564",
"country_code": "US",
"telephone_number": "775-688-3340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSWELL",
"first_name": "TARA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0120",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.