Alison Jean Bomba, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04515 Issued in MD

Practice address

15 N Court St Ste 202
Frederick, MD 21701-5413

Phone

(240) 405-9661

Fax

(301) 732-4459

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alison Jean Dunton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1598420598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N COURT ST STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015413",
            "telephone_number": "240-405-9661",
            "fax_number": "301-732-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N COURT ST STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015413",
            "telephone_number": "240-405-9661",
            "fax_number": "301-732-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBA",
        "first_name": "ALISON",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "DUNTON",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Praveen K Bolarum, M.D.
• Melissa Ramey Bolden, CRNP
• Robyn Ann Bolduc, M.S.
• Victoria E. Bolton, LCSW-C
• Camerica S. Boma, CRNA
• Stefani Bon, LCPC, NCC
• Melissa Jolene Bondoc
• Krystle Bonet
• Beronica Bonilla, LCSW-C
• Helen Bonilla

• Clinical Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.