DR. JOSEPH S. BOSARGE (NPI# 1508190505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508190505 |
Entity Type | Individual |
Full Name | DR. JOSEPH S. BOSARGE |
Credential | PH.D |
Practice Address |
11238 Pinehurst Dr Austin TX 78747-1432 |
Mailing Address |
2504 Rae Dell Ave Austin TX 78704-4735 |
Practice Telephone | 5126803013 |
Mailing Telephone | 5126601853 |
Mailing Fax Number | 8557009866 |
Enumeration Date | 2009-09-23 |
Last Update Date | 2016-09-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
34161 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760465058 | Joseph Richard Bosarge | Internal Medicine | 1340 Broad Ave, Suite 320, Gulfport, MS 39501-2404 | 2005-11-21 |
Street Address |
11238 PINEHURST DR |
City | AUSTIN |
State | TX |
Zip Code | 78747-1432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679054233 | Clarissa Anne Dosamantes | Licensed Vocational Nurse | 8617 Wiley Way, Austin, TX 78747 | 2018-08-22 |
1255852927 | Kelly Diane Sowa | Registered Nurse | 6600 East Bed White Blvd, Austin, TX 78747 | 2017-07-03 |
1144596313 | Elizabeth Renae Angstman Just | Family Medicine | 11209 S Ih 35, Austin, TX 78747 | 2012-03-31 |
1568757250 | American Current Care Pa | Clinic/Center | 10001 South Ih-35, Ste 300, Austin, TX 78747 | 2011-06-10 |
1841500147 | Rebecca Lee Rakestraw | Physical Therapist | 5510 S. Ih 35, Suite 240, Austin, TX 78747 | 2010-10-20 |
1558685552 | Wanda Ann Montemayor | Counselor | 11247 Pinehurst Dr, Austin, TX 78747-1428 | 2010-03-18 |
1447366810 | Clifford A Katz | Psychologist | 10609 Portrush Ct, Austin, TX 78747-1465 | 2006-08-21 |
1205304029 | Cari A Lalande | Pharmacist | 2210 Onion Creek Pkwy Unit 1102, Austin, TX 78747-1497 | 2018-11-09 |
1326588849 | Peak Dental | Dentist | 11001 Coral Gables Ct, Austin, TX 78747-1605 | 2017-03-02 |
1962794495 | Rosemary Goltz | Counselor | 2110 Boca Raton Dr, Suite 202, Austin, TX 78747-1630 | 2011-05-03 |
Find all providers in zip 78747 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
1235754201 | Amanda Max Hilberg | Psychologist | 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 | 2020-06-15 |
1427682871 | Charnel Hollier | Psychologist | 1500 W 38th St Ste 31, Austin, TX 78731-6318 | 2020-02-25 |
1053950329 | Erin G Underbrink Newins | Psychologist | 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 | 2020-01-03 |
1629553953 | Pulverman Psychological Services, Pllc | Psychologist | 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 | 2018-10-02 |
1770079071 | Donna Carpenter | Psychologist | 3724 Jefferson St Ste 200, Austin, TX 78731-6221 | 2018-07-10 |
1942790068 | Julia Jeannette Zenteno-montez | Psychologist | 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 | 2018-05-14 |
1558861583 | Dr. Jillian Racine | Psychologist | 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 | 2018-02-16 |
1063921708 | Mariel Smith Cannady | Psychologist | 4407 Pack Saddle Pass, Austin, TX 78745-1623 | 2017-09-26 |
1386161750 | Jessica A Peller | Psychologist | 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 | 2017-08-27 |
Find all providers in AUSTIN |
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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.