NPIMap

Organization Active NPI

Bolton Behavioral Consulting, Inc.

  • Behavior Analyst
  • Brentwood, TN
National Provider Identifier
1982934352
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1084137 Issued in TN
Legal business name
BOLTON BEHAVIORAL CONSULTING, INC.
Practice address
1245 Lighthouse PL
Brentwood, TN 37027-8353
Phone
(615) 479-1713
Fax
(615) 356-1843
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Tracey BoltonNPI 1417101627
Title
President
Phone
(615) 479-1713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1084137 TN Primary

Addresses

Primary practice location

1245 Lighthouse PL
Brentwood, TN 37027-8353

Mailing address

1245 Lighthouse PL
Brentwood, TN 37027-8353
Phone (615) 479-1713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1982934352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 LIGHTHOUSE PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278353",
            "telephone_number": "615-479-1713",
            "fax_number": "615-356-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 LIGHTHOUSE PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278353",
            "telephone_number": "615-479-1713",
            "fax_number": "615-356-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLTON BEHAVIORAL CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-479-1713"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1084137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.