THERESA LOREEN BOEN (NPI# 1720602972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720602972 |
| Entity Type | Individual |
| Full Name | THERESA LOREEN BOEN |
| Credential | ED.S. |
| Practice Address |
257 Braveheart Ln Johnstown CO 80534-2868 |
| Practice Telephone | 3039189913 |
| Mailing Telephone | 3039189913 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
178164 | CO | Behavioral Health & Social Service Providers |
| Street Address |
257 BRAVEHEART LN |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013314624 | Erika Maxwell | Psychologist | 6066 Johnstown Utica Rd, Johnstown, OH 43031-9408 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517838 | Candace Taylor | Psychologist | 6343 E Girard Pl Unit 159, Denver, CO 80222-7440 | 2020-10-30 |
| 1922611789 | Riki Carl D'amato | Psychologist | 7211 18th Street Rd, Greeley, CO 80634-9697 | 2020-08-30 |
| 1104442607 | James Estes | Psychologist | 24946 E Calhoun Pl Unit C, Aurora, CO 80016-2831 | 2020-06-19 |
| 1942839733 | Marla Beth Allen | Psychologist | 1901 Constellation Dr, Colorado Springs, CO 80905-7615 | 2020-04-03 |
| 1376179382 | Sandra Blome-downey | Psychologist | 34121 Skyline Dr, Golden, CO 80403-8653 | 2020-03-21 |
| 1669021945 | Terry Mcdougall | Psychologist | 1376 Banner Cir, Erie, CO 80516-6951 | 2019-09-09 |
| 1285289132 | Jennifer Wooster Anders | Psychologist | 4730 Holiday Dr Unit 202, Boulder, CO 80304-2374 | 2019-08-07 |
| 1508324088 | Laura Elizabeth Stoffler | Psychologist | 755 Nyssa Dr, Loveland, CO 80538-3350 | 2019-03-04 |
| 1154849545 | Peak Interventions LLC | Psychologist | 421 S Tejon St Ste 140, Colorado Springs, CO 80903-2131 | 2017-09-06 |
| 1215468848 | Jennifer Blanco | Psychologist | 3527 W 12th St Ste C, Greeley, CO 80634-2538 | 2017-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.