Tara M. Boadu, Psy.d. LLC
NPI 1114316395 · Clinical Psychologist · Berkeley Lake, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara M. Boadu, Psy.d. LLC is a Clinical Psychologist organization in Berkeley Lake, GA (NPI 1114316395).
Provider details
- NPI number
- 1114316395
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tara Boadu, Psychologist(678) 643-4495
- License
- PSY003163 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-12
- Last updated
- 2015-01-12
Frequently asked questions
- What is Tara M. Boadu, Psy.d. LLC's NPI number?
- Tara M. Boadu, Psy.d. LLC's National Provider Identifier (NPI) is 1114316395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tara M. Boadu, Psy.d. LLC?
- Tara M. Boadu, Psy.d. LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Tara M. Boadu, Psy.d. LLC located?
- Tara M. Boadu, Psy.d. LLC's practice location on file with NPPES is 4530 S Berkeley Lake Rd, Berkeley Lake, GA 30071-1660.
- What is Tara M. Boadu, Psy.d. LLC's phone number?
- The practice phone number listed in the NPPES registry for Tara M. Boadu, Psy.d. LLC is (470) 514-3727.
- Does Tara M. Boadu, Psy.d. LLC accept Medicare?
- Tara M. Boadu, Psy.d. LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tara M. Boadu, Psy.d. LLC?
- The authorized official listed on Tara M. Boadu, Psy.d. LLC's NPPES record is Tara Boadu, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tara M. Boadu, Psy.d. LLC's NPI active?
- Yes — Tara M. Boadu, Psy.d. LLC's NPI (1114316395) is active in the NPPES registry as of the last update on 2015-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.