JOHN I BOSWELL III (NPI# 1720085228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720085228 |
| Entity Type | Individual |
| Full Name | JOHN I BOSWELL III |
| Credential | M.D. |
| Practice Address |
1315 W College Ave Suite 303 State College PA 16801-2776 |
| Practice Telephone | 8148613300 |
| Mailing Telephone | 8148613300 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
035090-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010576160010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558772111 | John Lee Boswell | Social Worker | 860 Us Highway 1 Ste 203a, North Palm Beach, FL 33408 | 2014-05-16 |
| 1316991219 | John Covington Boswell | Internal Medicine | 255 Baptist Blvd Ste 402, Columbus, MS 39705-2006 | 2006-05-22 |
| 1588179535 | John David Boswell | Physician Assistant | 4076 Neely Road, Fort Wainwright, AK 99703 | 2017-12-12 |
| 1265758411 | John Blue Boswell | Counselor | 4700 Millenia Blvd, Ste 175, Orlando, FL 32839-6013 | 2010-04-13 |
| 1295936961 | John S Boswell | Dermatology | 5701 N West Ave, Fresno, CA 93711-2366 | 2007-05-30 |
| 1326016957 | John G Boswell | Pathology | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2006-03-09 |
| Street Address |
1315 W COLLEGE AVE SUITE 303 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883378 | Marolyn E Morford | Psychologist | 1315 W College Ave, Ste 303, State College, PA 16801-2776 | 2005-06-28 |
| 1942747183 | John W. Leclair Dmd | Dentist | 1315 W College Ave, Suite 201, State College, PA 16801-2776 | 2017-01-26 |
| 1518367085 | Joseph R. Schuchert Dmd & Associates, Inc | Dentist | 1315 W College Ave, Suite 201, State College, PA 16801-2776 | 2014-09-03 |
| 1467787093 | John Donald Williams | Psychologist | 1315 W College Ave, Suite 303, State College, PA 16801-2776 | 2009-10-15 |
| 1003004458 | Courtney Anne Kriley | Social Worker | 1315 W College Ave, State College, PA 16801-2776 | 2007-10-11 |
| 1235139015 | Thad Nathan Diehl | Chiropractor | 1315 W College Ave, Suie 200, State College, PA 16801-2776 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720161359 | Geeta Nangia | Psychiatry & Neurology | 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | 2006-10-24 |
| 1225062508 | Brian Garrett Rockower | Psychiatry & Neurology | 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | 2006-07-10 |
| 1912905795 | Craig Sherman Feaster | Psychiatry & Neurology | 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on JOHN I BOSWELL III.
| 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.