Amy Joanne Bosworth, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05836 Issued in MD

Practice address

1110 Benfield Blvd
Millersville, MD 21108-2639

Phone

(410) 863-7213

Fax

(410) 987-3154

NPI assigned

Apr 12, 2021

Last updated

Sep 8, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1629658976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211230127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "410-863-7213",
            "fax_number": "410-987-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "AMY",
        "middle_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madalyn Bone
• Colleen Borczon, LCSW-C
• Travis Boss, CRNP
• Erica Bouldin
• Irmina Chao Boulier, M.D.
• Alexis L. Bowen, LGPC, NCC
• Devon Michael Bowen, LMSW
• Zahava Nilly Brodt-Ciner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.