Organization Active NPI

Bosco Therapy LCSW PC

Doing business as Starfish Mental Health

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1245967025
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BOSCO THERAPY LCSW PC
Doing business as
Starfish Mental Health
Practice address
1901 1St Ave
San Diego, CA 92101-2356
Phone
(760) 523-9000
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Authorized official

Name
Robert Basque, LCSWNPI 1811612021
Title
Ceo
Phone
(760) 523-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1901 1St Ave
San Diego, CA 92101-2356

Mailing address

1901 1St Ave
San Diego, CA 92101-2356
Phone (760) 523-9000

Other names 1

  • Starfish Mental Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@starfishmentalhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117000261 CA Part B Supplier - Clinic/Group Practice 9931577210 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

777 E Tahquitz Canyon Way
Ste 20042
Palm Springs, CA 92262

1901 1st Ave
Fl 2
San Diego, CA 92101
Phone (619) 238-3813

1901 1st Ave
San Diego, CA 92101
Phone (760) 523-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771632000000",
    "number": "1245967025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012356",
            "telephone_number": "760-523-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012356",
            "telephone_number": "760-523-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSCO THERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A",
        "authorized_official_last_name": "BASQUE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-523-9000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@starfishmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 1st Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921012356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Starfish Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.