BETAYA SIMONE BOORDA PMHNP
NPI 1275403461
Nurse Practitioner - Psychiatric/Mental Health in Richmond, CA

Q: What is Betaya Boorda's NPI number?

The NPI number for Betaya Boorda is 1275403461. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Q: What is Betaya Boorda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Betaya Boorda was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 November 11, 2025

124 WASHINGTON AVE STE A5, RICHMOND, CA 94801(845) 594-5289 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Betaya Simone Boorda Pmhnp NPPES

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

BETAYA SIMONE BOORDA PMHNP (NPI 1275403461) is an individual psychiatric/mental health provider in Richmond, California, licensed in California (95019227) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1275403461

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBETAYA SIMONE BOORDACredential: PMHNP

Location Address124 WASHINGTON AVE STE A5Richmond, CA 94801-3979

Mailing Address921 Marina Way S Unit GRichmond, CA 94804-3756 · (845) 594-5289

Phone(845) 594-5289

Sole ProprietorYes

Enumeration DateNovember 11, 2025

NPPES CertifiedNovember 11, 2025

✔ NPI 1275403461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95019227

124 WASHINGTON AVE STE A5, Richmond, CA 94801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Betaya Boorda's NPI number?

The NPI number for Betaya Boorda is 1275403461. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Betaya Boorda located?

Betaya Boorda practices at 124 Washington Ave Ste A5, Richmond, CA 94801. The listed phone number is (845) 594-5289.

What is Betaya Boorda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Betaya Boorda was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.