BETH ANN BOSS


Address: 31 Industrial Blvd, Medford, NY 11763-2220
Phone: 6319244411

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 31 INDUSTRIAL BLVD
City MEDFORD
State NY
Zip Code 11763-2220

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

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.

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