DEBRA BOLTAS PH.D.
NPI 1104952381
Psychologist - Clinical in New Haven, CT

Q: What is Debra Boltas's NPI number?

The NPI number for Debra Boltas is 1104952381. It was assigned to this individual provider in the NPPES registry on February 24, 2007.

Q: What is Debra Boltas's specialty?

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

Q: Is Debra Boltas enrolled in Medicare?

No. Debra Boltas has opted out of Medicare through November 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Debra Boltas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 24, 2007Opted out of Medicare · through Nov 2, 2026

66 TRUMBULL ST, NEW HAVEN, CT 06510(203) 787-9119 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Debra Boltas Ph.d. NPPES

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

DEBRA BOLTAS PH.D. (NPI 1104952381) is an individual clinical provider in New Haven, Connecticut, licensed in Connecticut (001924) and active in the NPI registry since February 2007. She has opted out of Medicare through November 2, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104952381

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDEBRA BOLTASCredential: PH.D.

Location Address66 TRUMBULL STNew Haven, CT 06510-1012

Mailing Address198 Lawrence StNew Haven, CT 06511-2417 · (203) 824-4476

Phone(203) 787-9119

Sole ProprietorYes

Enumeration DateFebruary 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104952381 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 CT · 001924

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.

66 TRUMBULL ST, New Haven, CT 06510

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Debra Boltas Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 2, 2016 through November 2, 2026.

Opt-Out Effective DateNovember 2, 2016

Opt-Out In Effect ThroughNovember 2, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN WETZEL HOFFMAN PHD

Psychologist (Clinical)

66 TRUMBULL ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 676-6000

MS. LINDA S BARONE LPC

Counselor (Professional)

66 TRUMBULL ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 773-3831

DR. KATHERINE KENNEDY M.D.

Psychiatry & Neurology (Psychiatry)

66 TRUMBULL ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 772-2090

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 Debra Boltas's NPI number?

The NPI number for Debra Boltas is 1104952381. It was assigned to this individual provider in the NPPES registry on February 24, 2007.

Where is Debra Boltas located?

Debra Boltas practices at 66 Trumbull St, New Haven, CT 06510. The listed phone number is (203) 787-9119.

What is Debra Boltas's specialty?

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

Is Debra Boltas enrolled in Medicare?

No. Debra Boltas has opted out of Medicare through November 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Debra Boltas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.