BETH ANN BOSS (NPI# 1265893507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265893507 |
Entity Type | Individual |
Full Name | BETH ANN BOSS |
Credential | NYCPS |
Practice Address |
31 Industrial Blvd Medford NY 11763-2220 |
Practice Telephone | 6319244411 |
Practice Fax Number | 6319240563 |
Mailing Telephone | 6319244411 |
Mailing Fax Number | 6319240563 |
Enumeration Date | 2016-03-15 |
Last Update Date | 2016-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 175T00000X | Other Service Providers | |
N | 175T00000X | Peer Specialist | NONE | Other Service Providers |
Street Address |
31 INDUSTRIAL BLVD |
City | MEDFORD |
State | NY |
Zip Code | 11763-2220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265646087 | Tracy A. Cullen | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2007-05-10 |
1992326375 | Kerry Anderson | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2020-04-27 |
1609316504 | Darlene Lewis | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2017-02-27 |
1760922652 | Michelle Muller | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2017-02-27 |
1962859488 | Mcreynald Balthazar | Registered Nurse | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-05-16 |
1912369224 | Gail Rudy-giannino | Counselor | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-25 |
1952763716 | Kathleen Lao | Counselor | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
1790147411 | The Yaphank Center | Community/Behavioral Health | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
1770945552 | Marilyn Clarke | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
1447612171 | Thomas Gaynor | Rehabilitation Practitioner | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265073282 | Brandon Wade Orr | Peer Specialist | 611 W 11th St Apt 2, Medford, OR 97501-3572 | 2019-10-01 |
1558829358 | Robert Crawford | Peer Specialist | 221 W Main St # B13, Medford, OR 97501-2728 | 2019-03-11 |
1063977858 | Hayley Jo Burns | Peer Specialist | 1362 Garfield St, Medford, OR 97501-3979 | 2019-02-05 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1902288871 | Kelly Burrows | Peer Specialist | 817 N Central Ave, Suite C, Medford, OR 97501-5840 | 2015-06-26 |
1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
1609493873 | Heather Marie Getz | Peer Specialist | 200 Beatty St, Medford, OR 97501-5811 | 2020-07-02 |
1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
1427686021 | Richard Joseph Mccleary | Peer Specialist | 200 Beatty St, Medford, OR 97501-5811 | 2020-03-30 |
Find all providers in MEDFORD |
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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.