Individual provider Active NPI

Wendelina Amtoinette Bos, PSY.D.

  • Psychologist
  • Rocky Hill, NJ
National Provider Identifier
1750448510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00387200 Issued in NJ
Practice address
201 Washington St.
Rocky Hill, NJ 08553-0321
Phone
(609) 504-5245
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00387200 NJ Primary

Addresses

Primary practice location

201 Washington St.
Rocky Hill, NJ 08553-0321

Mailing address

PO Box 321
Rocky Hill, NJ 08553-0321
Phone (609) 504-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35SI00387200NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750448510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "ROCKY HILL",
            "state": "NJ",
            "postal_code": "085530321",
            "telephone_number": "609-504-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WASHINGTON ST.",
            "city": "ROCKY HILL",
            "state": "NJ",
            "postal_code": "085530321",
            "telephone_number": "609-504-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOS",
        "first_name": "WENDELINA",
        "middle_name": "AMTOINETTE",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00387200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, NJ

Sources for this page

Verify at the official NPI Registry.