JANICE WUNDERLE BOSLEY PHD LLC (NPI# 1104133289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104133289 |
| Entity Type | Organization |
| Organization Name | JANICE WUNDERLE BOSLEY PHD LLC |
| Practice Address |
4775 Knightsbridge Blvd Suite 203 Columbus OH 43214-4313 |
| Mailing Address |
5295 Baypointe Dr Powell OH 43065-9042 |
| Practice Telephone | 7408814394 |
| Practice Fax Number | 7408811515 |
| Mailing Telephone | 7408814394 |
| Mailing Fax Number | 7408811515 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | DR. JANICE WUNDERLE BOSLEY (OWNER) |
| Authorized Official Telephone | 7408814394 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
3738 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4775 KNIGHTSBRIDGE BLVD SUITE 203 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634200 | Autumn M O'brien | Internal Medicine | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2006-01-18 |
| 1427219492 | Emily Tancous Ferguson | Pediatrics | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2008-06-22 |
| 1003080961 | Columbus Eyecare Associates, Inc. | Optometrist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2008-04-22 |
| 1780875450 | Lisa Marie Wong | Specialist/Technologist | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2007-08-07 |
| 1326247073 | Tiamarie Nicole Moran | Dentist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2007-07-13 |
| 1467666727 | Deanna Maria Golden-kreutz | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-05-09 |
| 1972623239 | Gene Paul King | Dentist | 4775 Knightsbridge Blvd, Suite 101, Columbus, OH 43214 | 2007-03-30 |
| 1609902154 | Mark Lynn Elliott | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-02-26 |
| 1568503837 | Theodore Smiley | Optometrist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2007-02-09 |
| 1659411932 | Patrick Dollenmayer | Optometrist | 4775 Knightsbridge Blvd, Suite 102, Columbus, OH 43214-4313 | 2007-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750554473 | Bruce Steven Growick | Psychologist | 934 Middlebury Dr., Columbus, OH 43085-3466 | 2008-04-03 |
| 1952826943 | Eric Dean Anderson | Psychologist | 20 S 3rd St Ste 210, Columbus, OH 43215-4206 | 2017-08-10 |
| 1164760500 | Kristen B Jackson | Psychologist | 480 Medical Center Dr, Dodd Hall 2145, Columbus, OH 43210-1229 | 2013-01-18 |
| 1467721605 | Lynne Gauthier | Psychologist | 480 Medical Center Dr, 2145 Dodd Hall, Columbus, OH 43210-1229 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710549134 | Daniel Harvey Mazalic | Psychologist | 8599 Knox School Rd, Minerva, OH 44657-9437 | 2019-07-05 |
| 1043631724 | Amy Ricciardi | Psychologist | 38820 Hidden Canyon Dr, Grafton, OH 44044-9222 | 2013-12-23 |
| 1679502553 | Rehabilitation Psychology, Inc. | Psychologist | 200 Bradenton Ave, Dublin, OH 43017-7515 | 2006-07-02 |
| 1003213844 | Frank Kenner | Psychologist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-11-21 |
| 1558646406 | Sara Elizabeth Walters-bugbee | Psychologist | 10701 East Blvd, Psychology Service 116b, Cleveland, OH 44106-1702 | 2011-10-11 |
| 1245550250 | Behavioral Consultants LLC | Psychologist | 11206 Woodtown Rd, Galena, OH 43021-9638 | 2010-06-02 |
| 1205921061 | Bruce L Ladle | Psychologist | 30 E Apple St, Suite 6255, Dayton, OH 45409-2939 | 2006-10-04 |
| 1205847449 | Kip Smith | Psychologist | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-08-11 |
| 1922032929 | Elizabeth K Dreben | Psychologist | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-10 |
| 1053342840 | Anita B Gantner | Psychologist | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.