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JANICE WUNDERLE BOSLEY PHD LLC
NPI 1104133289
Psychologist - Rehabilitation in Columbus, OH

Active since September 09, 2010
4775 KNIGHTSBRIDGE BLVD, SUITE 203, COLUMBUS, OH 43214(740) 881-4394(740) 881-1515 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Janice Wunderle Bosley Phd Llc NPPES

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

JANICE WUNDERLE BOSLEY PHD LLC (NPI 1104133289) is a healthcare organization registered as a rehabilitation in Columbus, Ohio and active in the NPI registry since September 2010. The organization lists Janice Wunderle Bosley, Owner, as its authorized official.

NPPES Registry Identity

NPI1104133289
Entity TypeOrganization
Primary Taxonomy103TR0400X
Legal Business NameJANICE WUNDERLE BOSLEY PHD LLC
Location Address4775 KNIGHTSBRIDGE BLVD, SUITE 203Columbus, OH 43214-4313
Mailing Address5295 Baypointe DrPowell, OH 43065-9042 · (740) 881-4394 · Fax (740) 881-1515
Phone(740) 881-4394
Fax(740) 881-1515
Organization SubpartNo
Authorized OfficialJanice Wunderle BosleyOwner · (740) 881-4394
Enumeration DateSeptember 9, 2010
✔ NPI 1104133289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
License✔ Licensed in OH · 3738
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
4775 KNIGHTSBRIDGE BLVD, Columbus, OH 43214
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janice Wunderle Bosley Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Janice Wunderle Bosley Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Janice Bosley, PHD
Clinical Psychologist
NPI 1316049992
4775 KNIGHTSBRIDGE BLVD STE 203
Columbia, OH 43214
(740) 881-4394
✔ PECOS✔ Accepts MedicareSame address

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

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 Janice Wunderle Bosley Phd LLC's NPI number?

The NPI number for Janice Wunderle Bosley Phd LLC is 1104133289. It was assigned to this organization in the NPPES registry on September 9, 2010.

Where is Janice Wunderle Bosley Phd LLC located?

Janice Wunderle Bosley Phd LLC is located at 4775 Knightsbridge Blvd Suite 203, Columbus, OH 43214. The listed phone number is (740) 881-4394.

What is Janice Wunderle Bosley Phd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Is Janice Wunderle Bosley Phd LLC enrolled in Medicare?

Yes. Janice Wunderle Bosley Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Janice Wunderle Bosley Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Janice Wunderle Bosley Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Janice Wunderle Bosley Phd LLC was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.