DR. HANNAH GAIL BOSLEY (PHD) – Clinical Psychologist, NPI 1023733565

DR. HANNAH GAIL BOSLEY (PHD) is a healthcare provider. based in Berkeley, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 33633 (CA). The NPI Number for DR. HANNAH GAIL BOSLEY (PHD) is 1023733565

Main info

Female
5 Years Of Experience
Name
DR. HANNAH GAIL BOSLEY (PHD)
NPI
1023733565
Phone
(903) 780-4316
Address
1749 MARTIN LUTHER KING JR WAY
Enumeration Date
6 October 2022
Last Update Date
6 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
51084184841130
Graduation Year
2021 (5 years ago)
PAC ID
0941672067
Group Practice PAC ID
2264414283
Professional Enrollment ID
I20230217001006
Address ID
CA947092139BE1749XWAYX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,473 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for DR. HANNAH GAIL BOSLEY (PHD)

  • 1749 MARTIN LUTHER KING JR WAY

    BERKELEY, CA 947092139

    Phone: (903) 780-4316

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230217001006IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264414283View full group profile
NameSpecialtyState
Clinical PsychologistCA
Clinical PsychologistCA
P S Y C H I A T R YCA
Clinical PsychologistCA
Clinical PsychologistCA
-CA
Clinical PsychologistCA
-CA
P S Y C H I A T R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for DR. HANNAH GAIL BOSLEY (PHD) in the U.S.?
In the U.S., DR. HANNAH GAIL BOSLEY (PHD) is identified by NPI 1023733565.
Is DR. HANNAH GAIL BOSLEY (PHD) currently accepting referrals based on NPI status?
Registry metadata lists DR. HANNAH GAIL BOSLEY (PHD) as active.
What type of care does DR. HANNAH GAIL BOSLEY (PHD) provide?
DR. HANNAH GAIL BOSLEY (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. HANNAH GAIL BOSLEY (PHD)?
DR. HANNAH GAIL BOSLEY (PHD) is associated with Berkeley, California in the same public data insurers reference.
Why is information missing for DR. HANNAH GAIL BOSLEY (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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