Joel Bocanegra, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-203077 Issued in ID

Practice address

357 W Center St Ste 3
Pocatello, ID 83204-3236

Phone

(208) 244-0081

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Bilingual Psychological and Educational Assessment Specialists PLLC

  • Psychologist
  • Pocatello, ID
  • NPI 1073361580
  NPD Authorized official

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1245706274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 ARROWHEAD DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044659",
            "telephone_number": "502-689-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W CENTER ST STE 3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043236",
            "telephone_number": "208-244-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046273",
            "country_code": "US",
            "telephone_number": "208-538-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Yellowstone Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014572",
            "country_code": "US",
            "telephone_number": "208-538-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5740 Arrowhead Dr",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832044659",
            "country_code": "US",
            "telephone_number": "502-689-3428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "JOEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-203077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BMH, Inc.
• BMH, Inc.
• BMH, Inc.
• BMH, Inc.
• BMH, Inc.
• Body & Soul Therapy LLC
• Roger W. Boe, M.D.
• Andrew William Bohnsack, DDS
• Jean M Bokelmann, MD
• Patricia Marion Bolinger, LPC, NCC, NCSC

• All providers in Pocatello, ID
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.