Kelsey Marie Boetsch, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

32959 Issued in CA

Practice address

220 Technology Dr Ste 220
Irvine, CA 92618-2424

Phone

(949) 516-1266

NPI assigned

Jan 4, 2018

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1801303474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TECHNOLOGY DR STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TECHNOLOGY DR STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182424",
            "telephone_number": "949-516-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16782 Von Karman Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926062417",
            "country_code": "US",
            "telephone_number": "949-833-2237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOETSCH",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bocchino Chiropractic Inc
• Anthony L Bocchino
• Casey Boehm
• William Paul Boehm, PHD
• Harold Louis Boerlin III, M.D.
• Marilyn Siegel Boettiger, LCSW
• Elizabeth Victoria Bogarin
• Nicole Bogdan, MFT
• Courtney Lashay Boggs
• Greg T Bohall, PSY.D.

• Speech-Language Pathologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.