NPIMap

Organization Active NPI

Anthony Dwight Bobo, Sr

  • School Psychologist
  • Temple Terr, FL
National Provider Identifier
1881341857
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
ANTHONY DWIGHT BOBO, SR
Doing business as
Anthony Dwight Bobo, Sr
Practice address
7501 Okeechobee CT
Temple Terr, FL 33637-7345
Phone
(330) 573-4722
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Dr. Anthony Dwight Bobo Sr., PH.D.NPI 1487950887
Title
Owner
Phone
(133) 057-3472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

7501 Okeechobee CT
Temple Terr, FL 33637-7345

Mailing address

7501 Okeechobee CT
Temple Terr, FL 33637-7345
Phone (330) 573-4722

Other names 1

  • ANTHONY DWIGHT BOBO, SR Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1881341857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 OKEECHOBEE CT",
            "city": "TEMPLE TERR",
            "state": "FL",
            "postal_code": "336377345",
            "telephone_number": "330-573-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 OKEECHOBEE CT",
            "city": "TEMPLE TERR",
            "state": "FL",
            "postal_code": "336377345",
            "telephone_number": "330-573-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY DWIGHT BOBO, SR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "133-057-3472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHONY DWIGHT BOBO, SR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terr, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.