Katherine Boulware, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120535 Issued in CA

Practice address

1 N Indian Hill Blvd Ste 208
Claremont, CA 91711-4769

Phone

(747) 218-1622

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

No

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 Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guided Life Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upland, CA
  • NPI 1225831670
  NPD Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1083090658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 RICHARDS PL",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849266",
            "telephone_number": "626-506-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N INDIAN HILL BLVD STE 208",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114769",
            "telephone_number": "747-218-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULWARE",
        "first_name": "KATHERINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6641",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin B Bodossian, PT, DPT
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• Jessica Borelli, PH.D.
• Borna Family Dental, Inc
• Linda Borna, D.D.S.
• Nadine Bouz Turk, PSYD, LP
• Julianna Bowers
• Karen E. Bowser
• Brad a Baggarly O D Inc
• Amber Marlene Bragg, M.S., C.C.C.

• Marriage & Family Therapist in Claremont, CA
• Providers in Claremont, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.