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BETH ANN BOSS NYCPS
NPI 1265893507
Peer Specialist in Medford, NY

Active since March 15, 2016
31 INDUSTRIAL BLVD, MEDFORD, NY 11763(631) 924-4411(631) 924-0563 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beth Ann Boss Nycps NPPES

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

BETH ANN BOSS NYCPS (NPI 1265893507) is an individual peer specialist in Medford, New York, licensed in (175T00000X) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1265893507
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameBETH ANN BOSSCredential: NYCPS
Location Address31 INDUSTRIAL BLVDMedford, NY 11763-2220
Mailing Address31 Industrial BlvdMedford, NY 11763-2220 · (631) 924-4411 · Fax (631) 924-0563
Phone(631) 924-4411
Fax(631) 924-0563
Sole ProprietorNo
Enumeration DateMarch 15, 2016
✔ NPI 1265893507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed · 175T00000X✔ Licensed · NONE
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
31 INDUSTRIAL BLVD, Medford, NY 11763
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Other Providers at the Same Location NPPES 20

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

OLUMIDE OYELEYE
Nurse Practitioner (Psychiatric/Mental Health)
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411
MADELINE SEMA MAXWELL LMSW
Social Worker
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 205-6402
JANICE GALLAGHER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411
KAITLIN G FIBKINS LCSW
Social Worker (Clinical)
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411
EDWARD BROWNWORTH
Licensed Practical Nurse
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411
ANGELA TRINGONE LCSW
Social Worker (Clinical)
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411
SHARON ACOSTA LCSW
Social Worker (Clinical)
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411
TRACY A. CULLEN LCSW
Social Worker (Clinical)
31 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 924-4411

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 Beth Ann Boss's NPI number?

The NPI number for Beth Ann Boss is 1265893507. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Beth Ann Boss located?

Beth Ann Boss practices at 31 Industrial Blvd, Medford, NY 11763. The listed phone number is (631) 924-4411.

What is Beth Ann Boss's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Beth Ann Boss was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.