Boost Child and Family Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000573 Issued in CT

Legal business name

BOOST CHILD AND FAMILY SERVICES

Practice address

19 S Compo Rd
Westport, CT 06880-4319

Phone

(203) 557-8444

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Beth Sirlin, MA, LPC

Title

Executive Director

Phone

(203) 856-3372

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shari Goldstein

  • Clinical Psychologist
  • Westport, CT
  • NPI 1770071060
  NPD (past)

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1720539869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOUTH COMPO ROAD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801522",
            "telephone_number": "203-557-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S COMPO RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804319",
            "telephone_number": "203-557-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST CHILD AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SIRLIN",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-856-3372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janneta Kay Bohlander, LMFT
• Anna Bohn, RN
• Brittany Bonadio
• Melissa Bonasera, MD
• Patricia Bonenfant, MS, LADC, LPC
• Debra Dorfman Botens, PH.D.
• Jennifer Ann Boucher, BCBA
• Lindsay Boudreau, LPC
• Martha Boulton, APRN, BC, MS, MSN
• William Heard Boyd

• Mental Health Counselor in Westport, CT
• Providers in Westport, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.