DR. LEA J BOLDT PHD
NPI 1649945114
Psychologist in Iowa City, IA

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-4658(319) 356-2587 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2021, Aug 16, 2021 (2 updates tracked since 2021).

About Dr. Lea J Boldt Phd NPPES

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

DR. LEA J BOLDT PHD (NPI 1649945114) is an individual psychologist in Iowa City, Iowa, licensed in Iowa (109669) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649945114
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LEA J BOLDTCredential: PHD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-4658 · Fax (319) 356-2587
Fax(319) 356-2587
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 16, 2021
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1649945114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IA · 109669
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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 109669 (IA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 109669 (IA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 109669 (IA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 109669 (IA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 109669 (IA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 109669 (IA)
200 HAWKINS DR, Iowa City, IA 52242

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

Dr. Lea J Boldt 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 ID8820494867
PECOS Enrollment IDI20210831001194
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.

Other Providers at the Same Location NPPES 20

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

Pharmacist
200 HAWKINS DR
IOWA CITY, IA 52242
Pediatrics
200 HAWKINS DR
IOWA CITY, IA 52242
Transplant Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery (Vascular Surgery)
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649945114, enumerated as an "individual" on August 16, 2021.

The provider is located at 200 HAWKINS DR IOWA CITY, IA 52242 and the phone number is (319) 356-4658.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.