DR. GRANT GRIFFIN BOOSTROM PHD
NPI 1023731262
Psychologist - Clinical in Sheridan, WY

Q: What is Grant Boostrom's NPI number?

The NPI number for Grant Boostrom is 1023731262. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Q: What is Grant Boostrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Grant Boostrom was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2022

1898 FORT RD # 116B, SHERIDAN, WY 82801(307) 675-3834 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Grant Griffin Boostrom Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT GRIFFIN BOOSTROM PHD (NPI 1023731262) is an individual clinical provider in Sheridan, Wyoming, licensed in Wyoming (801) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1023731262

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GRANT GRIFFIN BOOSTROMCredential: PHD

Location Address1898 FORT RD # 116BSheridan, WY 82801-8320

Mailing Address1898 Fort Rd # 116bSheridan, WY 82801-8320 · (307) 675-3834

Phone(307) 675-3834

Sole ProprietorYes

Enumeration DateSeptember 22, 2022

NPPES CertifiedMay 25, 2021

✔ NPI 1023731262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WY · 801

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1898 FORT RD # 116B, Sheridan, WY 82801

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Boostrom's NPI number?

The NPI number for Grant Boostrom is 1023731262. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Grant Boostrom located?

Grant Boostrom practices at 1898 Fort Rd # 116B, Sheridan, WY 82801. The listed phone number is (307) 675-3834.

What is Grant Boostrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Grant Boostrom was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.