DR. JEANNE M. BOLTON


Address: 7270 Cradlerock Way, Columbia, MD 21045-5025
Phone: 4102906618

DR. JEANNE M. BOLTON (NPI# 1760601181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760601181
Entity Type Individual
Full Name DR. JEANNE M. BOLTON
Credential PH.D.
Practice Address 7270 Cradlerock Way
Columbia
MD 21045-5025
Mailing Address 7270 Cradlerock Way
Columbia
MD 21045-5092
Practice Telephone 4102906618
Practice Fax Number 4102906618
Mailing Telephone 4102906618
Mailing Fax Number 4102906618
Enumeration Date 2007-04-24
Last Update Date 2010-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
1855 MD Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
1855 MD Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
1855 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD MDIPA PROVIDER # 235733 01
MD EIN 20-17562656 01

Office Location

Street Address 7270 CRADLEROCK WAY
City COLUMBIA
State MD
Zip Code 21045-5025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073707808 Ahmed E Abdallah Specialist 7270 Cradlerock Way, Suite 102, Columbia, MD 21045-5025 2007-09-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497374136 Keenan Eldridge Behavior Technician 8950 Md-108, Suite 100, Columbia, MD 21045 2020-04-13
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1417519414 Howard County Health Department Clinic/Center Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 2019-07-01
1649754490 Dana Pirzchalski Behavioral Analyst 8815 Columbia Parkwary, 4, Columbia, MD 21045 2018-09-18
1871089177 Melissa Jo Kennedy Behavior Technician 8815 Columbia Parkway, 4, Columbia, MD 21045 2018-07-10
1497246193 Kjd Physical Therapist 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 2018-05-29
1174010276 Roger Lee Audiologist 8600 Snowden River Pkwy #309, Columbia, MD 21045 2018-04-16
1811497910 Dominique Nichole Hale Behavior Technician 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 2018-02-15
1982116802 Bradley D. Stiles Acupuncturist 6257 Deep River Cyn, Columbia, MD 21045 2017-11-01
1194234849 University of Maryland Eye Associates, P.a. Eyewear Supplier (Equipment, not the service) 5900 Waterloo Road, Suite 230, Columbia, MD 21045 2017-09-26
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215541040 Charles A Burgess Psychologist 119 Parker Hall, Columbia, MO 65211-2340 2020-08-31
1851910335 Columbia Psychology Healing Center LLC Psychologist 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 2020-04-14
1518515097 Warrenetta Crawford Mann Psychologist 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 2019-08-28
1528523420 Daniel Franco Psychologist 4501 Kentsfield Ln, Columbia, MO 65201-3587 2019-02-05
1861964207 Erin Joy Schuyler Psychologist 26 Barn Owl Ct, Columbia, SC 29209-4488 2018-12-26
1467944439 Zixuan Wang Psychologist 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 2018-06-05
1366990384 Amanda Marie Jones Psychologist 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 2016-09-19
1124574850 Patrick Steele Psychologist 1531 Laurel St, Columbia, SC 29201 2016-09-01
1073968061 Tara Acevedo, Psy.d., PC Psychologist 6213 Deep Earth Ln, Columbia, MD 21045-2565 2016-04-27
1467833798 Matthew Edmond Fitzgerald Psychologist 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 2015-06-11
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Competitor

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City COLUMBIA
Zip Code 21045

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Dataset Information

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.

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