Miriam S. Bozarth, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 5984 Issued in FL

Practice address

1103 Fortune Ave
Panama City, FL 32401-1831

Phone

(850) 769-6188

Fax

(850) 769-1261

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Suzette Smith LCSW Inc

  • Clinical Social Worker
  • Panama City, FL
  • NPI 1023339579
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1356645402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FORTUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011831",
            "telephone_number": "850-769-6188",
            "fax_number": "850-769-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FORTUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011831",
            "telephone_number": "850-769-6188",
            "fax_number": "850-769-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZARTH",
        "first_name": "MIRIAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanita Andrea Bowick
• Craig David Bowlen, LMT
• Lee Allen Boxberger, PA-C
• Kathryn Boyce, RN
• Rachael Boyd, APRN
• Susan Overton Bozarth
• BPSG L.L.C.
• Laura Rizzo Bracey, ARNP
• Amanda A Bragdon
• Brain and Spine LLC

• Psychologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.