Aislinn C Bos, LP, PSYD
Individual provider Active NPI Clinical Psychologist · Rolla, MO
NPI 1013801976 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1013801976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2025020411 (MO)
- Practice address
- 575B Blues Lake Pkwy
Rolla, MO 65401-8587 - Phone
- (844) 853-8937
- NPI assigned
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1800 Community
Clinton, MO 64735-8804
2321 Lanes End LN Apt C
Rolla, MO 65401-2091
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260408002559 | MO | Practitioner - Clinical Psychologist | 6709351604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025020411 | MO | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2025020411 | MO | Yes |
Addresses
Primary practice location
575B Blues Lake Pkwy
Rolla, MO 65401-8587
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
1060 W 10th St Ste 300
Rolla, MO 65401-2905
Phone (844) 853-8937
Other providers in Rolla, MO
- Joseph C Bond Jr.
- Leah Kathleen Bond
- Paula G Bonney
- Charles Boone
- Brittany L Boren
- Elliotte Schafer Bourne
- Lorie Ann Bourne
- Sarah Bowe
- Anita R Bowen
- Thomas Brent Bowen
All providers in Rolla, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.