DR. JUSTIN JAMES BOSECK PH.D.
NPI 1083937270
Psychologist in Fargo, ND

Active since March 02, 2010PECOS Enrolled
3401 45TH ST S STE A, FARGO, ND 58104(701) 356-4384(701) 356-4383 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 2, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Justin James Boseck Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN JAMES BOSECK PH.D. (NPI 1083937270) is an individual psychologist in Fargo, North Dakota and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1083937270
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JUSTIN JAMES BOSECKCredential: PH.D.
Location Address3401 45TH ST S STE AFargo, ND 58104-8970
Mailing Address3060 Frontier Way SouthFargo, ND 58103 · (701) 232-2340
Fax(701) 356-4383
Sole ProprietorYes
Enumeration DateMarch 2, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1083937270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
3401 45TH ST S STE A, Fargo, ND 58104

Secondary Practice Location 1

Location 13060 Frontier Way SouthFargo, ND 58103 · Phone (701) 232-2340

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin James Boseck Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Boseck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
4215 31ST AVE S STE A
Fargo, ND 58104
  • Reassigned Medicare billing, North Dakota enrollment
  • 4 clinicians in this Medicare group
Community/Behavioral Health
1308 23RD ST S, SUITE G
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 10 clinicians in this Medicare group
Psychologist
510 4TH ST S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 65 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3401 45TH ST S STE A
FARGO, ND 58104
Behavior Technician
3401 45TH ST S STE A
FARGO, ND 58104
Counselor (Professional)
3401 45TH ST S STE A
FARGO, ND 58104
Behavior Technician
3401 45TH ST S STE A
FARGO, ND 58104
Behavior Technician
3401 45TH ST S STE A
FARGO, ND 58104
Behavior Technician
3401 45TH ST S STE A
FARGO, ND 58104
Case Manager/Care Coordinator
3401 45TH ST S STE A
FARGO, ND 58104
Specialist/Technologist (Speech-Language Assistant)
3401 45TH ST S STE A
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Boseck's NPI number?

The NPI number for Justin Boseck is 1083937270. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Justin Boseck located?

Justin Boseck practices at 3401 45th St S Ste A, Fargo, ND 58104. The listed phone number is (701) 356-4384.

What is Justin Boseck's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Justin Boseck enrolled in Medicare?

Yes. Justin Boseck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Boseck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Boseck reassigns Medicare benefits to 3 organizations: Integrated Intervention Specialists, LLC (Fargo, ND), Benson Psychological Services PC (Fargo, ND) and Psj Acquisition LLC (Fargo, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Boseck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Boseck accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Justin Boseck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Boseck was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.