Janice Wunderle Bosley PHD LLC

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

3738 Issued in OH

Legal business name

JANICE WUNDERLE BOSLEY PHD LLC

Practice address

4775 Knightsbridge Blvd
Suite 203
Columbus, OH 43214-4313

Phone

(740) 881-4394

Fax

(740) 881-1515

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Janice Wunderle Bosley, PHDNPI 1316049992

Title

Owner

Phone

(740) 881-4394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Wonderle Bosley, PHD

  • Psychologist
  • Columbia, OH
  • NPI 1316049992
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1104133289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 BAYPOINTE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659042",
            "telephone_number": "740-881-4394",
            "fax_number": "740-881-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 203",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144313",
            "telephone_number": "740-881-4394",
            "fax_number": "740-881-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE WUNDERLE BOSLEY PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "WUNDERLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-881-4394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "3738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Janecek
• Christine Noel Janek, APRN-CNP
• Linda Janes, LICDC-CS
• Molly Janes
• Joo Jang, DDS
• Brianna Janig, BSSW, LSW
• Gregory A Janikian, D.D.S.
• Kristen A Janikian, CRNP
• Janis Home Health Care LLC
• Jeffrey Edward Janis, MD

• Rehabilitation Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Rehabilitation Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.