Organization Active NPI

Dr. Sarah a. Bohn, Clinical Psychologist, Inc

  • Psychologist
  • Carlsbad, CA
National Provider Identifier
1356742936
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR. SARAH A. BOHN, CLINICAL PSYCHOLOGIST, INC
Practice address
1207 Carlsbad Village Dr
Suite H
Carlsbad, CA 92008-1957
Phone
(760) 729-8641
Fax
(760) 434-0917
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Sarah A Bohn, PH.D.NPI 1548340383
Title
Managing Partner
Phone
(760) 729-8641

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1207 Carlsbad Village Dr
Suite H
Carlsbad, CA 92008-1957

Mailing address

1207 Carlsbad Village Dr
Suite H
Carlsbad, CA 92008-1957
Phone (760) 729-8641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001002360 CA Part B Supplier - Clinic/Group Practice 6103046859 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

1207 Carlsbad Village Dr
Ste H
Carlsbad, CA 92008
Phone (760) 729-8641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1356742936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR",
            "address_2": "SUITE H",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081957",
            "telephone_number": "760-729-8641",
            "fax_number": "760-434-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR",
            "address_2": "SUITE H",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081957",
            "telephone_number": "760-729-8641",
            "fax_number": "760-434-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SARAH A. BOHN, CLINICAL PSYCHOLOGIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "760-729-8641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.