Individual provider Active NPI

Joshua Bosheff, M.ED. ED.S.

  • School Psychologist
  • Massillon, OH
National Provider Identifier
1104721240
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LSP.02694 Issued in OH
Practice address
4315 13TH St SW
Massillon, OH 44646-3449
Phone
(330) 478-6163
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LSP.02694 OH Primary

Addresses

Primary practice location

4315 13TH St SW
Massillon, OH 44646-3449

Mailing address

4315 13TH St SW
Massillon, OH 44646-3449
Phone (330) 478-6163

Other practice location 1

140 N Bodmer Ave
Strasburg, OH 44680-1122
Phone (330) 878-5571 ext. 1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1104721240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 13TH ST SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463449",
            "telephone_number": "330-478-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 13TH ST SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463449",
            "telephone_number": "330-478-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Bodmer Ave",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "OH",
            "postal_code": "446801122",
            "country_code": "US",
            "telephone_number": "330-878-5571 x1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSHEFF",
        "first_name": "JOSHUA",
        "credential": "M.ED. ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.02694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.