Individual provider Active NPI

Gene L Bohlmann, ED.D.

  • Psychologist
  • Los Alamitos, CA
National Provider Identifier
1679822480
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27893 Issued in CA
Practice address
4281 Katella Ave
Suite 207
Los Alamitos, CA 90720-3500
Phone
(714) 226-9770
Fax
(714) 226-9776
NPI assigned
Sep 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC46279 CA
Psychologist 103T00000X PSY27893 CA Primary

Addresses

Primary practice location

4281 Katella Ave
Suite 207
Los Alamitos, CA 90720-3500

Mailing address

12501 Seal Beach Blvd Ste 230
Seal Beach, CA 90740-8815
Phone (562) 240-7780

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
I20160323000681 CA Practitioner - Clinical Psychologist 2466759220 Practice locations: Los Alamitos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Los Alamitos, CA 90720
Phone (562) 240-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27893CAMDPsychologist
MFC46279CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Attention Specialists, Inc PastSince Apr 11, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1679822480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD STE 230",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408815",
            "telephone_number": "562-240-7780",
            "fax_number": "310-540-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE",
            "address_2": "SUITE 207",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203500",
            "telephone_number": "714-226-9770",
            "fax_number": "714-226-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMANN",
        "first_name": "GENE",
        "middle_name": "L",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46279",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.