Sandra L Bohle, MA, MFA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112620 Issued in CA

Practice address

491 S Marengo Ave
Pasadena, CA 91101-3128

Phone

(424) 341-1977

NPI assigned

Jan 8, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Fine Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1043971377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013128",
            "telephone_number": "424-341-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013128",
            "telephone_number": "424-341-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLE",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "MA, MFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "112620",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodyscape Integrative Physical Therapy
• Jessica Miller Boeckmann, M.D.
• Lindsey Rebecca Bogan, M.S.
• Hanna Bogen, M.S., CCC-SLP
• Shakeh Bogharian
• Claudia Boileu-Flores
• Celeste Bojorquez
• Skye-Lynn Journee Bojorquez
• Julie L Boles, M.D.
• Marisa Danelle Bolinger

• All providers in Pasadena, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.