Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tammy L Boylan, BS

Individual provider Case Manager/Care Coordinator · NPI 1083140156

Tammy L Boylan, BS is a Mental Health Counselor in Stillwater, Oklahoma. Qualified in 2017, 9 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

421 E Thomas Ave
Stillwater, OK 74075-2600
Phone: (405) 372-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1083140156
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESJuly 21, 2022
Mailing address421 E Thomas Ave, Stillwater, OK 74075-2600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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