Active NPIIndividual providerSole proprietor

Dr. Elisabeth Boersma, PSYD

Psychologist, Clinical in Newton Center, Massachusetts

NPI Number1669732277
Practice location
47 Halcyon RD, Newton Center, MA 02459-2431
Fax
—
Last updated
May 17, 2012

Elisabeth Boersma is a Psychologist, Clinical based in Newton Center, MA. Elisabeth Boersma practices in Newton Center, MA and has the professional credentials of PSYD. The NPI Number for Elisabeth Boersma is 1669732277 and holds a License No. 9495 (MA). The current practice location address for Elisabeth Boersma is 47 Halcyon RD, Newton Center, MA 02459-2431 and can be reached out via phone at 617-690-9322.

Provider Profile Details

NPI Number
1669732277
Provider Name
Elisabeth Boersma
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
47 Halcyon RD, Newton Center, MA 02459-2431
Phone Number
617-690-9322
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 17, 2012
Last Update Date
May 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Halcyon RD
Newton Center, MA 02459-2431
Zip
02459-2431
Phone Number
617-690-9322
Newton Center, MA 02459Get directions →

Provider Business Mailing Address Details

Address
47 Halcyon RD
Newton Center, MA 02459-2431
City
Newton Center
State
MA
Zip
02459-2431
Phone Number
617-690-9322

License Information

License Number
9495
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elisabeth Boersma, PSYD?

The NPI number of Dr. Elisabeth Boersma, PSYD is 1669732277. It was assigned on May 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Elisabeth Boersma, PSYD?

Dr. Elisabeth Boersma, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9495.

Where does Dr. Elisabeth Boersma, PSYD practice?

The practice location is 47 Halcyon RD, Newton Center, MA 02459-2431. The office can be reached at 617-690-9322 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669732277 directly on the NPPES registry website.

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