DR. NICHOLAS CHARLES BOSTON PSYD - NPI 1891479390 - Psychologist in Winchester, VA

Q: What is Nicholas Boston's NPI number?

The NPI number for Nicholas Boston is 1891479390. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Nicholas Boston's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Boston was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Nicholas Charles Boston Psyd NPPES

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

DR. NICHOLAS CHARLES BOSTON PSYD (NPI 1891479390) is an individual clinical provider in Winchester, Virginia, licensed in Virginia (0810008168) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1891479390

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICHOLAS CHARLES BOSTONCredential: PSYD

Location Address333 W CORK ST UNIT 230Winchester, VA 22601-3871

Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235

Phone(540) 536-1120

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 14, 2023

Last NPPES UpdateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1891479390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810008168

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 0810008168 (VA)

333 W CORK ST UNIT 230, Winchester, VA 22601

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Secondary Practice Location 1

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Charles Boston Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830639400

PECOS Enrollment IDI20240910001659

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

KATHRYN KIM GRUENINGER PSY.D.

Psychologist (Clinical)