MICHAEL BOLTWOOD PHD
NPI 1487739694
Psychologist in Suquamish, WA

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
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: July 26, 2026.

About Michael Boltwood Phd NPPES

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

MICHAEL BOLTWOOD PHD (NPI 1487739694) is an individual psychologist in Suquamish, Washington and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1487739694
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL BOLTWOODCredential: PHD
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
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 26, 2006
Last NPPES UpdateDecember 30, 2022
NPPES CertifiedDecember 30, 2022
NPI 1487739694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Boltwood Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254396138
PECOS Enrollment IDI20041120000123
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
46 services46 patients

Other Providers at the Same Location NPPES

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

Psychologist
6000 WHALE DANCER CT NE
SUQUAMISH, WA 98392

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's NPI number?

The NPI number for Michael Boltwood is 1487739694. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Michael Boltwood located?

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

What is Michael Boltwood's specialty?

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

Is Michael Boltwood enrolled in Medicare?

Yes. Michael Boltwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Boltwood accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Boltwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Boltwood was last updated on December 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.