AMANDA ROSE BOSKE CMPSS RDAT NPI 1619681087

NPI Information

NPI: 1619681087
Provider Name: AMANDA ROSE BOSKE, CMPSS, RDAT
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address: 2500 N PALM CANYON DR STE A4
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 424-5602

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NPI Details

Amanda Rose Boske, CMPSS, RDAT is a peer specialist in Palm Springs, CA. The provider is 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. Amanda Rose Boske, CMPSS, RDAT NPI is 1619681087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 N PALM CANYON DR STE A4
PALM SPRINGS, CA
ZIP 92262-866
Phone: (760) 424-5602
Fax: (760) 670-2734

The enumeration date for this NPI number is 1/10/2023 and was last updated on 6/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1613790525	CALIFORNIA	No
2	175T00000X	Peer Specialist		MPSS-OVETLI	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MPSS-OVETLI	OTHER	CALIFORNIA	CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY (CALMHSA)
2	R1613790525	OTHER	CALIFORNIA	CCAPP (CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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