1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Community Behavioral Health
  6. NPI Profile

LORI GRAY BOOTHROYD PLLC
NPI 1508001090
Community/Behavioral Health in Traverse City, MI

Active since December 11, 2008
12935 S WEST BAY SHORE DR, SUITE 200, TRAVERSE CITY, MI 49684(231) 929-4722 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Gray Boothroyd Pllc NPPES

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

LORI GRAY BOOTHROYD PLLC (NPI 1508001090) is a healthcare organization registered as a community/behavioral health in Traverse City, Michigan and active in the NPI registry since December 2008. The organization lists Lori Boothroyd, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1508001090
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLORI GRAY BOOTHROYD PLLC
Location Address12935 S WEST BAY SHORE DR, SUITE 200Traverse City, MI 49684-6298
Mailing Address13351 S Partridge Run DrTraverse City, MI 49684-8485 · (231) 929-4722
Phone(231) 929-4722
Organization SubpartNo
Authorized OfficialLori BoothroydLicensed Psychologist · (231) 929-4722
Enumeration DateDecember 11, 2008
Last NPPES UpdateAugust 10, 2012
✔ NPI 1508001090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MI · 6301012397
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
12935 S WEST BAY SHORE DR, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 1

Medicare PINMI1793MI

Other Providers at the Same Location NPPES

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

DR. LORI BOOTHROYD PH.D.
Psychologist (Counseling)
12935 S WEST BAY SHORE DR, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-4722

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 Lori Gray Boothroyd PLLC's NPI number?

The NPI number for Lori Gray Boothroyd PLLC is 1508001090. It was assigned to this organization in the NPPES registry on December 11, 2008.

Where is Lori Gray Boothroyd PLLC located?

Lori Gray Boothroyd PLLC is located at 12935 S West Bay Shore Dr Suite 200, Traverse City, MI 49684. The listed phone number is (231) 929-4722.

What is Lori Gray Boothroyd PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lori Gray Boothroyd PLLC was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.