Active NPI
Danielle Bogema-Oswalt, RBT, M.A., CAS, NCSP
- School Psychologist
- Chesapeake, VA
National Provider Identifier
1215711981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1421 Kristina Way
Chesapeake, VA 23320-8917 - Phone
- (757) 547-0153
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
1421 Kristina Way
Chesapeake, VA 23320-8917
Mailing address
1421 Kristina Way
Chesapeake, VA 23320-8917
Phone (757) 547-0153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Behavioral Academy, LLC | Behavior Technician | Past | Accepting new patients |
| Texoma ABA, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1215711981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 KRISTINA WAY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208917",
"telephone_number": "757-547-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 KRISTINA WAY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208917",
"telephone_number": "757-547-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGEMA-OSWALT",
"first_name": "DANIELLE",
"credential": "RBT, M.A., CAS, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.