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TRACY LYNN BOLDIN BS, QMHP
NPI 1730653460
Rehabilitation Practitioner in Los Angeles, CA

Active since January 16, 2019
840 N AVENUE 66, LOS ANGELES, CA 90042(626) 395-7100 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2024, Feb 6, 2024, Jan 16, 2019 (3 updates tracked since 2019).

About Tracy Lynn Boldin Bs, Qmhp NPPES

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

TRACY LYNN BOLDIN BS, QMHP (NPI 1730653460) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since January 2019. She maintains a secondary practice location in Sherman Oaks.

NPPES Registry Identity

NPI1730653460
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameTRACY LYNN BOLDINCredential: BS, QMHP
Location Address840 N AVENUE 66Los Angeles, CA 90042-1508
Mailing AddressPo Box 90521Los Angeles, CA 90009-0521 · (214) 549-8769
Phone(626) 395-7100
Sole ProprietorNo
Enumeration DateJanuary 16, 2019
Last NPPES UpdateMay 17, 20243 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1730653460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
840 N AVENUE 66, Los Angeles, CA 90042
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Secondary Practice Location 1

Location 113130 Burbank BlvdSherman Oaks, CA 91401-6037 · Phone (818) 781-0360

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.

DR. JENNIE M. MATHESS PSY.D.
Psychologist (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
RUBY A GARCIA LPT
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
ALICIA GUERRA
Rehabilitation Practitioner
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MS. ROMINA MONSERRAT TEJEDA LMFT
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MARISSA LEE LUBAG
Peer Specialist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MAYRA MELGOZA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
EVELYN AVILA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MALIYA GUERCY
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100

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 Tracy Boldin's NPI number?

The NPI number for Tracy Boldin is 1730653460. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Where is Tracy Boldin located?

Tracy Boldin practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (626) 395-7100.

What is Tracy Boldin's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tracy Boldin was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.