Active NPI
Thuy Tran Boardman, PHD, MPH
- Clinical Psychologist
- Seminole, FL
National Provider Identifier
1720129984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1633
- Practice address
- 10801 Starkey Rd Ste 215
Seminole, FL 33777-1161 - Phone
- (352) 353-7916
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 4, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1633 | KS | Primary |
| Clinical Psychologist | 103TC0700X | 12708 | FL |
Addresses
Primary practice location
10801 Starkey Rd Ste 215
Seminole, FL 33777-1161
Mailing address
11578 Tradewinds Blvd
Largo, FL 33773-4416
Phone (775) 225-6421
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12708 | FL | MD | Clinical Psychologist |
| 1633 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751587200000",
"number": "1720129984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11578 TRADEWINDS BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "337734416",
"telephone_number": "775-225-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 STARKEY RD STE 215",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337771161",
"telephone_number": "352-353-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOARDMAN",
"first_name": "THUY",
"middle_name": "TRAN",
"name_prefix": "Dr.",
"credential": "PHD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2025-07-04",
"certification_date": "2025-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "1633",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "12708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.