Active NPI
Michael Boers, PSY.D.
- Clinical Psychologist
- Tehachapi, CA
National Provider Identifier
1417298142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15809
- Practice address
- 21282 Carriage Dr
Tehachapi, CA 93561-6801 - Phone
- (661) 822-4402
- Fax
- (661) 823-3362
- NPI assigned
- Mar 5, 2013
- Last updated
- Mar 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY15809 | CA | Primary |
Addresses
Primary practice location
21282 Carriage Dr
Tehachapi, CA 93561-6801
Mailing address
21282 Carriage Dr
Tehachapi, CA 93561-6801
Phone (661) 822-4402
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 |
|---|---|---|---|
| PSY15809 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1417298142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21282 CARRIAGE DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935616801",
"telephone_number": "661-822-4402",
"fax_number": "661-823-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21282 CARRIAGE DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935616801",
"telephone_number": "661-822-4402",
"fax_number": "661-823-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOERS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.