MICHAEL BOLTWOOD , INC
NPI 1427231307
Psychologist in Suquamish, WA

Active since December 13, 2007
6000 WHALE DANCER CT NE, SUQUAMISH, WA 98392(360) 698-1321(360) 308-0447 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Boltwood , Inc NPPES

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

MICHAEL BOLTWOOD , INC (NPI 1427231307) is a healthcare organization registered as a psychologist in Suquamish, Washington and active in the NPI registry since December 2007. The organization lists Michael Boltwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1427231307
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMICHAEL BOLTWOOD , INC
Location Address6000 WHALE DANCER CT NESuquamish, WA 98392-9648
Mailing AddressPo Box 2324Silverdale, WA 98383-2324 · (360) 698-1321 · Fax (360) 308-0447
Fax(360) 308-0447
Organization SubpartNo
Authorized OfficialMichael BoltwoodOwner · (360) 698-1321
Enumeration DateDecember 13, 2007
Last NPPES UpdateDecember 30, 2022
NPPES CertifiedDecember 30, 2022
✔ NPI 1427231307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WA · PY00001641
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6000 WHALE DANCER CT NE, Suquamish, WA 98392

Other Identifiers 1

Medicaid7069149WA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Boltwood , Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael Boltwood , Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1487739694
6000 WHALE DANCER CT NE
Suquamish, WA 98392
(360) 698-1321
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael Boltwood , Inc's NPI number?

The NPI number for Michael Boltwood , Inc is 1427231307. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Michael Boltwood , Inc located?

Michael Boltwood , Inc is located at 6000 Whale Dancer Ct NE, Suquamish, WA 98392. The listed phone number is (360) 698-1321.

What is Michael Boltwood , Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Boltwood , Inc enrolled in Medicare?

Yes. Michael Boltwood , Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael Boltwood , Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Michael Boltwood , Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael Boltwood , Inc was last updated on December 30, 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.