Individual provider Active NPI

Dale Bostwick, ED.S.

  • School Psychologist
  • Middleburg, VA
National Provider Identifier
1184009334
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0803000252 Issued in VA
Practice address
108 W Washington St
Suite 204
Middleburg, VA 20117
Phone
(703) 975-9713
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0803000252VAMDSchool Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0803000252 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

108 W Washington St
Suite 204
Middleburg, VA 20117

Mailing address

43368 Wayfarer SQ
Chantilly, VA 20152-2059
Phone (703) 975-9713

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2015.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1184009334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43368 WAYFARER SQ",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201522059",
            "telephone_number": "703-975-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W WASHINGTON ST",
            "address_2": "SUITE 204",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "20117",
            "telephone_number": "703-975-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "DALE",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0803000252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.