Brian Emil Bossick, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301014916 Issued in MI

Practice address

1 Campus Dr
Allendale, MI 49401-9401

Phone

(616) 331-3266

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meghan McLain PCGroup PAC ID 3971979477, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meghan McLain PC

  dba Integral Psychological Services LLC

  • Counseling Psychologist
  • Grand Rapids, MI
  • NPI 1538815709
  Medicare reassignment Care Compare group NPD
• Grand Valley State University

  dba Campus Health Center

  • Urgent Care Clinic/Center
  • Allendale, MI
  • NPI 1518019223
  NPD (past)
• Grand Valley State University

  • Student in an Organized Health Care Education/Training Program
  • Allendale, MI
  • NPI 1689064610
  NPD (past)
• Rockford Speech Therapy, LLC

  • Speech-Language Pathologist
  • Rockford, MI
  • NPI 1831727585
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1093412603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 TRINITY LN SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494188868",
            "telephone_number": "616-450-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPUS DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019401",
            "telephone_number": "616-331-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSICK",
        "first_name": "BRIAN",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301014916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Bergakker
• Jonas P Berlin, DO
• Meghan Marea Berry, ATC
• Bethesda Farm
• Blue Bridge Dental PLLC
• Izabelle Bostelaar
• Matthew Philip Boyd, M.D.
• Jodi L Briggs, MSPT
• Emmitt Lee Bronkema
• Eric William Brown

• Counseling Psychologist in Allendale, MI
• Providers in Allendale, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.