Dr Jeffrey Theodore Boston, PSYD | |
821 Raymond Ave, Suite 150, Saint Paul, MN 55114-1503 | |
(651) 642-9741 | |
Not Available |
Full Name | Dr Jeffrey Theodore Boston |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 821 Raymond Ave, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649394156 | NPI | - | NPPES |
245L9BO | Other | MN | BLUE CROSS BLUE SHIELD |
184314100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP3768 (Minnesota) | Primary |
Entity Name | Natalis Outcomes, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558761981 PECOS PAC ID: 1557790144 Enrollment ID: O20200402001085 |
Mailing Address | Practice Location Address |
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Dr Jeffrey Theodore Boston, PSYD 1821 University Ave W, Ste 155, Saint Paul, MN 55104-2880 Ph: () - | Dr Jeffrey Theodore Boston, PSYD 821 Raymond Ave, Suite 150, Saint Paul, MN 55114-1503 Ph: (651) 642-9741 |
Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979 | |
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709 | |
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985 | |
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121 | |
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540 | |
Ms. Sharon Grace Lamb, LP LMFT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 Portland Ave, Saint Paul, MN 55104 Phone: 651-290-9088 Fax: 651-290-9311 | |
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176 |