Martha B Boston, PH.D

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

PS005955L Issued in PA

Practice address

1350 Edgmont Ave
Suite 2575
Chester, PA 19013-3962

Phone

(302) 547-4956

NPI assigned

Mar 18, 2008

Last updated

Feb 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elders Counseling Group

  • Mental Health Counselor
  • Jenkintown, PA
  • NPI 1073545679
  NPD (past)
• Interface Psych Services, Inc

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1659569135
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1922279975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 EDGMONT AVE",
            "address_2": "SUITE 2575",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133962",
            "telephone_number": "302-547-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 EDGMONT AVE",
            "address_2": "SUITE 2575",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133962",
            "telephone_number": "302-547-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "MARTHA",
        "middle_name": "B",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PS005955L",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "B1-0000370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonner Physiatry Associates
• Briana Monet Bookhard
• Daniel Kenneth Boone, B.S.
• Gabriella Borodyansky, DO
• Kenneth M Bosacco, DDS
• Brian Bowling
• Raashidah Elizabeth Bowman, CNA CMA
• Kristin Anne Boyer, RN, BSN
• Brittany Boykins
• Karen Boyle, BA

• Addiction (Substance Use Disorder) Psychologist in Chester, PA
• Providers in Chester, PA by specialty
• Addiction (Substance Use Disorder) Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.