| Dr Nicholas Charles Boston, PSYD | |
|
333 W Cork St Unit 230, Winchester, VA 22601-3871 | |
| (540) 536-1120 | |
| Not Available |
| Full Name | Dr Nicholas Charles Boston |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 333 W Cork St Unit 230, Winchester, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891479390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810008168 (Virginia) | Primary |
| 103G00000X | Clinical Neuropsychologist | 0810008168 (Virginia) | Secondary |
| Entity Name | Winchester Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Charles Boston, PSYD 220 Campus Blvd Ste 320, Winchester, VA 22601-2889 Ph: (540) 536-5100 | Dr Nicholas Charles Boston, PSYD 333 W Cork St Unit 230, Winchester, VA 22601-3871 Ph: (540) 536-1120 |
Mrs. Sarah C Childress, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 S Loudoun Street, Winchester, VA 22601 Phone: 540-667-5431 Fax: 540-667-2655 | |
Ms. Holli B Henning, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 48 S Purcell Ave, Winchester, VA 22601 Phone: 540-667-7171 Fax: 540-662-6398 | |
Kathryn Kim Grueninger, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 333 W Cork St Unit 230, Winchester, VA 22601 Phone: 540-536-1120 Fax: 540-536-5139 | |
Alyssa Smith, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1415 Amherst St, Winchester, VA 22601 Phone: 540-662-3888 | |
Dr. John Smith Crandell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 125 S Cameron St, Winchester, VA 22601 Phone: 540-722-0750 Fax: 540-722-0751 | |
Dr. Angela Marett Butler, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 S Loudoun St, Winchester, VA 22601 Phone: 540-667-5431 Fax: 540-667-2655 | |
Dr. Randall L Midock, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 S Loudoun Street, Winchester, VA 22601 Phone: 540-667-5431 Fax: 540-667-2655 |