Active NPI
Marian Bova, PSY.D.
- Clinical Psychologist
- Camp Hill, PA
National Provider Identifier
1437739588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS015897
- Practice address
- 300 Corporate Center Dr Ste 102
Camp Hill, PA 17011-9927 - Phone
- (717) 439-4914
- NPI assigned
- Apr 13, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015897 | PA | Primary |
Addresses
Primary practice location
300 Corporate Center Dr Ste 102
Camp Hill, PA 17011-9927
Mailing address
2417 New York Ave
Camp Hill, PA 17011-7318
Phone (717) 439-4914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917001902 | PA | Practitioner - Psychologist Billing Independently | 8022559152 | Practice locations: Camp Hill, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2417 New York Ave
Camp Hill, PA 17011-7318
300 Corporate Ctr Dr
Suite 102
Camp Hill, PA 17011-9927
Phone (717) 972-8379
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015897 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1437739588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 NEW YORK AVE",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170117318",
"telephone_number": "717-439-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CORPORATE CENTER DR STE 102",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170119927",
"telephone_number": "717-439-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVA",
"first_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS015897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.