Bridgett Renae Boxley, PHD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2022048270 Issued in MO

Practice address

16903 Red Oak Dr Ste 213
Houston, TX 77090-3915

Phone

(713) 907-7716

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Bridgett Renae Tate Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Macchian Solutions

  • Clinical Child & Adolescent Psychologist
  • Houston, TX
  • NPI 1720740194
  NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1902577083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16903 RED OAK DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903966",
            "telephone_number": "713-907-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 RED OAK DR STE 213",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903915",
            "telephone_number": "713-907-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXLEY",
        "first_name": "BRIDGETT",
        "middle_name": "RENAE",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2022048270",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.macchiansolutions.com",
            "affiliation": "N",
            "address_1": "16903 Red Oak Dr Ste 213",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIDGETT",
            "last_name": "TATE",
            "middle_name": "RENAE",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Bowser, OTR/L
• Heather Bowsher, COTA
• Christine Chu Bowyer
• Brian Box
• Nathan Ryan Box, MD
• Elena Paraskeve Boyaci, APRN
• Gregory Boyajian, MD
• Michael Eugene Boyars, MD
• Aaron Boyce, LP, LSSP
• Berrin Boyce, DPT

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.