Michelle M Bourgerie, AMFT & APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT146456 Issued in CA

Practice address

2011 Palomar Airport Rd Ste 205
Carlsbad, CA 92011-1431

Phone

(760) 334-8424

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1508696063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 AMBROSIA LN APT 1628",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920112624",
            "telephone_number": "612-840-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PALOMAR AIRPORT RD STE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111431",
            "telephone_number": "760-334-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGERIE",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "AMFT & APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT146456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Delaney Boston-Pohl
• Autumn Boswell
• Ivett Botello
• France Bouchard-Gill, BSCPT
• Juna Bouchekara
• Madelyn Bourgoujian
• Barbara Jean Boutelle, P.T.
• David C Boutelle, P.T.
• Tod C Bowman, DDS
• Nickolas Jon Boyol

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.