Active NPI
Alexandra Bozick
- Marriage & Family Therapist
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139108
- Practice address
- 25283 Cabot Rd Ste 107
Laguna Hills, CA 92653-5509 - Phone
- (949) 243-6311
- NPI assigned
- Aug 27, 2018
- Last updated
- Jun 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 139108 | CA | Primary |
Addresses
Primary practice location
25283 Cabot Rd Ste 107
Laguna Hills, CA 92653-5509
Mailing address
16052 Beach Blvd Ste 218
Huntington Beach, CA 92647-3809
Phone (949) 243-6311
Other practice location 1
505 N Euclid St Ste 300
Anaheim, CA 92801
Phone (714) 871-5646
Other practice location 2
505 N Euclid St Ste 300
Anaheim, CA 92801
Phone (714) 871-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139108 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceans for Individual, Marriage and Family Counseling Inc. | Current | Accepting new patients | |
| Western Youth Services | Past | Accepting new patients |
Locations
16052 Beach Blvd
Ste 218
Huntington Beach, CA 92647
Phone (714) 264-6659
25283 Cabot Rd
Ste 107
Laguna Hills, CA 92653
Phone (949) 215-9140
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laguna Hills, CA
- NPI 1235822347
-
- Adolescent and Children Mental Health Clinic/Center
- Anaheim, CA
- NPI 1770617987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685836800000",
"number": "1306327325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16052 BEACH BLVD STE 218",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473809",
"telephone_number": "949-243-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25283 CABOT RD STE 107",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535509",
"telephone_number": "949-243-6311"
}
],
"practiceLocations": [
{
"address_1": "505 N Euclid St Ste 300",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92801",
"country_code": "US",
"telephone_number": "714-871-5646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 N Euclid St Ste 300",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92801",
"country_code": "US",
"telephone_number": "714-871-5646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOZICK",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2023-06-04",
"certification_date": "2023-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "139108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.