Active NPI
Marina Atef Boulos
- Student in an Organized Health Care Education/Training Program
- Westerville, OH
National Provider Identifier
1831953207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 275 W Schrock Rd
Westerville, OH 43081-2874 - Phone
- (614) 722-2000
- NPI assigned
- Feb 7, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | Primary | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | MA |
Addresses
Primary practice location
275 W Schrock Rd
Westerville, OH 43081-2874
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
30 Warren St
Brighton, MA 02135-3602
Phone (617) 254-3800
Other practice location 2
1 Wells Ave
Newton, MA 02459-3226
Phone (617) 327-6777
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": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1831953207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W SCHROCK RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812874",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "30 Warren St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021353602",
"country_code": "US",
"telephone_number": "617-254-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wells Ave",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024593226",
"country_code": "US",
"telephone_number": "617-327-6777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULOS",
"first_name": "MARINA",
"middle_name": "ATEF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.