Individual provider Active NPI

Sarah A. Bohn, PH.D.

  • Clinical Psychologist
  • Carlsbad, CA
National Provider Identifier
1548340383
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9045 Issued in CA
Practice address
1207 Carlsbad Village Dr
Suite H
Carlsbad, CA 92008-1957
Phone
(760) 729-8641
Fax
(760) 434-0917
NPI assigned
Oct 16, 2006
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY9045 CA 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000202 CA Practitioner - Clinical Psychologist 8325227218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1207 Carlsbad Village Dr
Suite H
Carlsbad, CA 92008-1958
Phone (760) 729-8641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY9045CAMDClinical Psychologist
9045CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sarah a. Bohn, Clinical Psychologist, Inc CurrentSince Jan 18, 2014 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1548340383",
    "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": {
        "last_name": "BOHN",
        "first_name": "SARAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.