Richard Grant Boddie, CSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

047991 Issued in NY

Practice address

420 North Ave
New Rochelle, NY 10801-4160

Phone

(914) 235-6633

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881803401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PELHAM RD",
            "address_2": "2N",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052500",
            "telephone_number": "914-576-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014160",
            "telephone_number": "914-235-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDIE",
        "first_name": "RICHARD",
        "middle_name": "GRANT",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "047991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Blumenthal, OT
• Victoria Boateng, DHA, LCSWR, M-CASAC
• Bret Boatwright, PSYD, LLP
• Gail F.M. Bochow, RNC NP
• Franklin Leslie Bocian, M.D.
• John J Bonamo, M.D.
• Paige C Bond, LMSW
• Raffaela Bonventre, LMSW
• Meaghan Boozang-Hill
• Ognian Bouhlev, M.D.

• Mental Health Counselor in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.