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NPI Code Detail

MEDICARE: DR. ROBIN THOMAS BOSCARELLI PH.D.

MEDICARE: DR. ROBIN THOMAS BOSCARELLI PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerPSY14464CA
2103TC0700XClinical PsychologistCA PSY 14464CA

General Provider Information

NPI Number : 1699869222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN THOMAS BOSCARELLI PH.D.
Provider Business Mailing Address
First Line : 533 NORTH PECK ROAD
Second Line :
City : SANTA PAULA
State : CA
Zip : 93060-1847
Country : US
Telephone Number : 805-933-3190
Fax Number :
Provider Business Practice Location Address
First Line : 1911 WILLIAMS DR STE 200
Second Line :
City : OXNARD
State : CA
Zip : 93036-0673
Country : US
Telephone Number : 805-973-1489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 04/28/2025

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Directions to “ DR. ROBIN THOMAS BOSCARELLI PH.D.” Practice Location

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