Lea J. Boldt, PHD
NPI 1649945114ActiveIndividual· Psychologist· Iowa City, IA
Psychologist (PHD) with Meadowlark Partners LLC, practicing in Iowa City, Iowa. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1649945114 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Aug 16, 2021 |
| Last updated in NPPES | Sep 16, 2021 |
| Certified by provider | Sep 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 109669 | IA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 109669 | IA |
| Psychologist, Clinical | 103TC0700X | 109669 | IA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 109669 | IA |
| Psychologist, Family | 103TF0000X | 109669 | IA |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 109669 | IA |
| Psychologist, Group Psychotherapy | 103TP2701X | 109669 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Meadowlark Partners LLCNorth Liberty, IA · 32 clinicians
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