Eleni M Boosalis, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

8401 Dorsey Cir
Suite 102
Manassas, VA 20110-8303

Phone

(703) 408-6142

Fax

(703) 656-4868

NPI assigned

Feb 21, 2008

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1982873261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DORSEY CIR",
            "address_2": "SUITE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108303",
            "telephone_number": "703-408-6142",
            "fax_number": "703-656-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DORSEY CIR",
            "address_2": "SUITE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108303",
            "telephone_number": "703-408-6142",
            "fax_number": "703-656-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSALIS",
        "first_name": "ELENI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmal Cuda Bogollagama, DDS
• Olubukola David Bolaji, MD
• Bonrifuh Investment Group Inc
• Amy Sue Bookwalter, CD(DONA), LCCE
• Boosalis Psychological Services
• Borarath Yann, D.D.S., PC
• Michelle Maria Boren, LCSW
• Paul A Borzellino, LPC
• Cheryl Boston, AU.D., FAAA
• Yina Botero Muriel

• All providers in Manassas, VA
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.