DR. TYRONE BOSTIC (NPI# 1104274232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104274232 |
| Entity Type | Individual |
| Full Name | DR. TYRONE BOSTIC |
| Credential | PH.D |
| Practice Address |
5421 Fallwood Dr 110 Indianapolis IN 46220-5659 |
| Practice Telephone | 3172860157 |
| Mailing Telephone | 3172860157 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Street Address |
5421 FALLWOOD DR 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174067748 | Derek Daniel | Counselor | 5603 Cherry Field Dr, Indianapolis, IN 46237-3825 | 2016-12-15 |
| 1942752761 | Indianapolis Counselor Incorporated | Counselor | 819 East 64th Street, #216, Indianapolis, IN 46220-6610 | 2016-10-27 |
| 1528314713 | Gary W Nichols | Counselor | 5150 E Stop 11 Rd Ste 10, Indianapolis, IN 46237-8629 | 2012-07-25 |
| 1336312263 | Tracy M Ross | Counselor | 4218 Guion Lakes Ter, Indianapolis, IN 46254-1594 | 2008-04-11 |
| 1124392204 | Weston Counseling, LLC | Counselor | 3237 W 16th St, Indianapolis, IN 46222-2704 | 2012-03-07 |
| 1619187721 | Suzanne Murphy Coyle | Counselor | 1050 W 42nd St, Indianapolis, IN 46208-3301 | 2007-05-23 |
| 1194934927 | Karen Jean Estle | Counselor | 1001 W 10th St, # 5132, Indianapolis, IN 46202-2859 | 2007-05-21 |
| 1992920946 | Mary Elizabeth Whaley | Counselor | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-04-16 |
| 1275674046 | Christina Joan Thomas | Counselor | 819 E 64th St, Suite A, Indianapolis, IN 46220-1671 | 2007-02-12 |
| 1902952146 | Sondra Katena Gentry | Counselor | 1050 W 42nd St, Indianapolis, IN 46208-3301 | 2007-01-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on DR. TYRONE BOSTIC.
| 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.