Active NPI
Dale Bostwick, ED.S.
- School Psychologist
- Middleburg, VA
National Provider Identifier
1184009334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0803000252
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0803000252 | VA | MD | School Psychologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0803000252 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.