Active NPI
Lyn T. Boulter
- Psychologist
- Salisbury, NC
National Provider Identifier
1801540174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2386 Robin Rd
Salisbury, NC 28144-4567 - Phone
- (704) 638-9020
- NPI assigned
- Feb 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NC | Primary |
Addresses
Primary practice location
2386 Robin Rd
Salisbury, NC 28144-4567
Mailing address
2386 Robin Rd
Salisbury, NC 28144-4567
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1801540174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 ROBIN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2386 ROBIN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444567",
"telephone_number": "704-638-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULTER",
"first_name": "LYN",
"middle_name": "T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.