AMY BOULDIN (NPI# 1992320139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992320139 |
| Entity Type | Individual |
| Full Name | AMY BOULDIN |
| Credential | MED |
| Practice Address |
124 E Broad St Ste D Falls Church VA 22046-4530 |
| Mailing Address |
3650 S Glebe Rd Unit 742 Arlington VA 22202-5602 |
| Practice Telephone | 7035345100 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0704006890 | VA | Behavioral Health & Social Service Providers |
| Street Address |
124 E BROAD ST STE D |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22046-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043404080 | Amy Clay Stephens | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2007-09-04 |
| 1366057226 | Melissa Noelle Johnson | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-09-08 |
| 1447869896 | Ashley Simpkins Davis | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-07-30 |
| 1265057954 | Jami Michelle Hill-smith | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-06-09 |
| 1518581107 | Vanessa Steffens | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-05-30 |
| 1265055933 | Elizabeth Autrey-moore | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-05-28 |
| 1033732771 | Mary Jean Harford | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-05-28 |
| 1174146997 | Daniel Mcdonald | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-05-27 |
| 1720616097 | Julia Ward | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2020-03-31 |
| 1942781463 | Maya Georgieva | Counselor | 124 E Broad St Ste D, Falls Church, VA 22046-4530 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735794 | Megan Katherine Hassan | Speech-Language Pathologist | 803 West Broad Street, Suite 100, Falls Church, VA 22046 | 2019-11-25 |
| 1205481173 | Michael William Wirtz | Physical Therapist | 510 South Washington Street, Ste. A, Falls Church, VA 22046 | 2019-08-07 |
| 1629636568 | Meaghan A Souza | Physical Therapist | 510 S Washington Street, Suite A, Falls Church, VA 22046 | 2019-06-05 |
| 1619478963 | Teresa Rosas | Dentist | Blvd Fundadores #8417-21, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-22 |
| 1174022974 | Bio Medical Center | Radiology | 3170 General Ferreira, Colonia Madero Sur, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-07 |
| 1558875385 | M & R Taxi Company, Inc. | Non-emergency Medical Transport (VAN) | 1115 West Broad St., Falls Church, VA 22046 | 2017-12-01 |
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1184140501 | Christopher Grivas | Chiropractor | 510 W Annandale Road, Suite 300, Falls Church, VA 22046 | 2017-08-17 |
| 1831562719 | Strategy Anesthesia Virginia, LLC | Anesthesiology | 502 W Broad Street (route 7), Falls Church, VA 22046 | 2015-11-02 |
| 1851762025 | Edward A Stern | Registered Nurse | 201 N Washington Street, C/o Kaiser Permanente, Falls Church, VA 22046 | 2015-10-14 |
| Find all providers in zip 22046 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354940 | Center for Counseling Families | Counselor | 200 Little Falls St Ste 203b, Falls Church, VA 22046-4302 | 2020-07-29 |
| 1588201446 | Bridget Kraft | Counselor | 140 Little Falls St Ste 206, Falls Church, VA 22046-4323 | 2019-12-10 |
| 1831679570 | Karen Pipek | Counselor | 256 N Washington St Ste 3, Falls Church, VA 22046-4517 | 2018-08-21 |
| 1629569272 | Crystal Hamling | Counselor | 200 Little Falls St Ste 306, Falls Church, VA 22046-4302 | 2018-05-18 |
| 1245731330 | Noura Isabelle Khayat | Counselor | 300 N Washington St Ste 102d, Falls Church, VA 22046-3441 | 2018-02-23 |
| 1255784864 | Helena Emilia Orellana | Counselor | 7700 Leesburg Pike Ste 1, Falls Church, VA 22043-2615 | 2016-07-19 |
| 1689057838 | Kimberly J. Steiner | Counselor | 450 W Broad St Ste 315, Falls Church, VA 22046-3318 | 2015-07-07 |
| 1558784520 | Miki Nishida Goerdt | Counselor | 2916 Lawrence Dr, Falls Church, VA 22042-1405 | 2014-01-28 |
| 1487095246 | Cheryl Zandt | Counselor | 520 N Washington St Ste 100, Falls Church, VA 22046-3538 | 2013-07-09 |
| 1003169681 | Jessica Macnair | Counselor | 2762 Marshall St, Falls Church, VA 22042-2003 | 2012-10-19 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22046 |
Please comment or provide details below to improve the information on AMY BOULDIN.
| 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.