Wendi Lea Boettcher, ATR-BC, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

000933-1 Issued in NY

Practice address

425 Robinson St
Binghamton, NY 13904-1735

Phone

(607) 773-4248

NPI assigned

Jun 10, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982807509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ROBERTS ST",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "137951018",
            "telephone_number": "607-775-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735",
            "telephone_number": "607-773-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "WENDI",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000933-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Holly Blackwell, BACHELOR AS
• Rachel Blackwell, NP
• Rebecca Ellen Blake-Brown, RN
• Richard L Blansky, M.D.
• Loraine Bode, OTR/L
• Michael A Bogdasarian, M.D.
• Brian Anthony Bohunicky
• Stephanie Ann Boland, RN
• Praveen Reddy Bondalapati, MD
• Kelly Bonitz

• All providers in Binghamton, NY
• Art Therapist 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.