Nancy Duff-Boehm, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3637 Issued in OH

Practice address

26777 Lorain Rd
Suite 716
North Olmsted, OH 44070-3200

Phone

(440) 777-9200

Fax

(440) 777-9288

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Practitioners 6

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

• Kelly D Brill, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake, OH
  • NPI 1275206039
  Medicare reassignment
• Maryann Gambitta, LISW

  • Clinical Social Worker
  • North Olmsted, OH
  • NPI 1700983533
  Medicare reassignment
• William Hein, DO

  • Family Medicine Physician
  • Mentor, OH
  • NPI 1174029599
  Medicare reassignment
• Brandi Mickale Lewis, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1740316066
  Medicare reassignment
• Peter Oley, DO

  • Internal Medicine Physician
  • Newbury, OH
  • NPI 1104232206
  Medicare reassignment
• Maria Michele Sferro

  • Psychiatry Physician
  • Cleveland, OH
  • NPI 1386171601
  Medicare reassignment

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.

• Nancy Duff-Boehm, PH.D., & Associates, LLC

  dba Action Recovery

  • Clinical Psychologist
  • North Olmsted, OH
  • NPI 1013998814
  NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1730105362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF-BOEHM",
        "first_name": "NANCY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000293193",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238684",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680011568",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Dotson, PMHNP
• Theresa Dow
• Dreas Healthcare Services LLC
• DRS. Agronin & Sweeney - Orthodontics, LLC
• Angela E Dubik, RN
• David Duffy
• James Dunn
• Kelly L Durbin, M.A.,C.C.C.-A
• Jamillah Dye-Perkins, PMHNP-BC
• E. L. Fitch MD, Family Medicine Inc.

• Clinical Psychologist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.