Boas Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOAS PSYCHOTHERAPY, LLC

Practice address

1400 Front Ave Ste 305
Lutherville Timonium, MD 21093-5364

Phone

(443) 823-9122

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Craig Wheeler Boas, LCSW-CNPI 1093956336

Title

Clinical Social Worker

Phone

(443) 823-9122

Specialties & licenses 1

Addresses

Other names 1

• Boas Psychotherapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Craig Wheeler Boas, LCSW-C

  • Clinical Social Worker
  • Lutherville Timonium, MD
  • NPI 1093956336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1841966157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 305",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "443-823-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 305",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "443-823-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "BOAS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "WHEELER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-823-9122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boas Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boas Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Meghan Colleen Commins Blattner, PHD
• Craig Wheeler Boas, LCSW-C
• Kathryn Alice Boling, M.D
• Matthew Borrison, PHARMD
• Briana Quinlan
• Bridginglife, Inc.

• Clinical Social Worker in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.