Active NPI
Steven Robert Bosin, PSY.D.
- Psychologist
- Philadelphia, PA
National Provider Identifier
1992910632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS0008436L
- Practice address
- 1235 Pine St
Philadelphia, PA 19107-5945 - Phone
- (215) 735-7068
- NPI assigned
- May 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS0008436L | PA | Primary |
Addresses
Primary practice location
1235 Pine St
Philadelphia, PA 19107-5945
Mailing address
831 Dickinson St
Philadelphia, PA 19147-6406
Phone (215) 868-7527
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0008436L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992910632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 DICKINSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191476406",
"telephone_number": "215-868-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 PINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075945",
"telephone_number": "215-735-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSIN",
"first_name": "STEVEN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS0008436L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.