Jennifer Aubrey Bottoms, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017873 Issued in NY

Practice address

3980 Sheridan Dr FL 6
Dent Neurologic Group, LLP
Amherst, NY 14226-1727

Phone

(716) 250-2000

NPI assigned

Nov 5, 2008

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

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

State University of New York at Buffalo School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dent Neurologic Group LLPGroup PAC ID 1951298033, 117 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

44.01 of 100Reported as group

Promoting interoperability

0

Improvement activities

40

Cost

80.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA

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

• Dent Neurologic Group LLP

  • Neurology Physician
  • Amherst, NY
  • NPI 1497850911
  Medicare reassignment Care Compare group NPD
• Academic Medicine Services, Inc.

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1255394763
  NPD (past)
• Dent Neuologic Institute

  • Infusion Therapy Clinic/Center
  • Amherst, NY
  • NPI 1801946488
  NPD (past)
• University Neurology, Inc.

  • Neurology Physician
  • Buffalo, NY
  • NPI 1649293820
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1962656819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR FL 6",
            "address_2": "DENT NEUROLOGIC GROUP, LLP",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTOMS",
        "first_name": "JENNIFER",
        "middle_name": "AUBREY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bornhava
• Bornhava
• Jennifer Borsick, RPH
• Christine Nicole Bosch, MS, OTRL
• Linda Faye Bosshardt, SLP
• Louise Catherine Boty
• Jason Boucher
• Paul M Bovenzi, RPH
• Lauren Bowen
• Adam Michael Bowman, D.C.

• Clinical Psychologist in Amherst, NY
• Providers in Amherst, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.