Individual provider Active NPI

Nicholas Charles Boston, PSYD

  • Clinical Psychologist
  • Winchester, VA
National Provider Identifier
1891479390
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810008168 Issued in VA
Practice address
333 W Cork St Unit 230
Winchester, VA 22601-3871
Phone
(540) 536-1120
NPI assigned
Jun 14, 2023
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810008168 VA
Clinical Psychologist 103TC0700X 0810008168 VA Primary

Addresses

Primary practice location

333 W Cork St Unit 230
Winchester, VA 22601-3871

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001659 VA Practitioner - Clinical Psychologist 9830639400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

333 W Cork St
Winchester Rehab
Winchester, VA 22601-3870
Phone (540) 536-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810008168VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Apr 8, 2024 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Apr 8, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Compos Mentis Neuropsych PLLC Clinical Current Accepting new patients

Locations

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 320
Winchester, VA 22601

333 W Cork St
Winchester, VA 22601
Phone (540) 536-5114

333 W Cork St
Unit 230
Winchester, VA 22601
Phone (540) 536-1120

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1891479390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 230",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013871",
            "telephone_number": "540-536-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "NICHOLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810008168",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.