Active NPI
Sara Beth Bosley, PH.D.
- Clinical Psychologist
- El Paso, TX
National Provider Identifier
1659417756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001626
- Practice address
- 51000 N. Piedras Street
Room A374
El Paso, TX 79930-4211 - Phone
- (703) 919-7688
- Fax
- (703) 919-7688
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0810001626 | VA | Primary |
Addresses
Primary practice location
51000 N. Piedras Street
Room A374
El Paso, TX 79930-4211
Mailing address
5100 N. Piedras Street
Room A374
El Paso, TX 79930-4211
Phone (703) 919-7688
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001626 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1659417756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 N. PIEDRAS STREET",
"address_2": "ROOM A374",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304211",
"telephone_number": "703-919-7688",
"fax_number": "703-919-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51000 N. PIEDRAS STREET",
"address_2": "ROOM A374",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304211",
"telephone_number": "703-919-7688",
"fax_number": "703-919-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSLEY",
"first_name": "SARA BETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.