WILLA BOSTON PSYD
NPI 1700259553
Psychologist - Clinical in Blue Ridge, GA

Q: What is Willa Boston's NPI number?

The NPI number for Willa Boston is 1700259553. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Q: What is Willa Boston's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Willa Boston was last updated on December 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 02, 2015

9757 BLUE RIDGE DR, BLUE RIDGE, GA 30513(706) 455-2490(706) 946-6574 Get Directions Write a Review

NPPES record last updated: December 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willa Boston Psyd NPPES

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

WILLA BOSTON PSYD (NPI 1700259553) is an individual clinical provider in Blue Ridge, Georgia, licensed in Georgia (PSY003953) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1700259553

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameWILLA BOSTONCredential: PSYD

Location Address9757 BLUE RIDGE DRBlue Ridge, GA 30513-4167

Mailing Address9757 Blue Ridge DrBlue Ridge, GA 30513-4167 · (706) 455-2490 · Fax (706) 946-6574

Phone(706) 455-2490

Fax(706) 946-6574

Sole ProprietorYes

Enumeration DateNovember 2, 2015

Last NPPES UpdateDecember 20, 2015

✔ NPI 1700259553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003953

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PSY003953 (GA)

9757 BLUE RIDGE DR, Blue Ridge, GA 30513

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Other Identifiers 2

Medicaid003169841AGA

Medicare UPIN202I629735GA

Other Providers at the Same Location NPPES 12

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

LORI WHITNEY SIMS LCSW

Social Worker (Clinical)