NPIMap

Organization Active NPI

Bohlen & Associates, S.C.

  • Psychiatry Physician
  • Springfield, IL
National Provider Identifier
1396922688
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-069395 Issued in IL
Legal business name
BOHLEN & ASSOCIATES, S.C.
Practice address
3001 Spring Mill Dr
Suite D
Springfield, IL 62704-6599
Phone
(217) 546-3100
Fax
(217) 546-3284
NPI assigned
Jan 29, 2008
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. Joseph Glenn Bohlen, M.D.NPI 1619095643
Title
Owner/President
Phone
(217) 546-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-069395 IL Primary

Addresses

Primary practice location

3001 Spring Mill Dr
Suite D
Springfield, IL 62704-6599

Mailing address

3001 Spring Mill Dr
Suite D
Springfield, IL 62704-6599
Phone (217) 546-3100

Other identifiers 1

IdentifierTypeStateIssuer
8400618OtherILBCBS-IL

National Provider Directory

National Provider Directory

Locations

3001 Spring Mill Dr
Ste A
Springfield, IL 62704
Phone (217) 546-3100

3001 Spring Mill Dr
Ste D
Springfield, IL 62704
Phone (217) 546-3100

Practitioners & affiliated clinicians

Practitioners 4

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1396922688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SPRING MILL DR",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046599",
            "telephone_number": "217-546-3100",
            "fax_number": "217-546-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SPRING MILL DR",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046599",
            "telephone_number": "217-546-3100",
            "fax_number": "217-546-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHLEN & ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "BOHLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "217-546-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-069395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-IL",
            "identifier": "8400618",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.