Amanda Boudrow
Counselor in Chelsea, MA. Individual provider (NPI-1).
NPI number1972872166
StatusActive
Last updated in NPPESDec 19, 2011
Details
- NPI
- 1972872166
- Entity type
- Individual (NPI-1)
- Name
- Amanda Boudrow
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2011
- Last updated
- Dec 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
301 BroadwayChelsea, MA 02150-2807
Phone 617-912-7912
Mailing address
301 BroadwayChelsea, MA 02150-2807
Phone 617-912-7912
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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