Individual provider Active NPI

Bohan Farrell, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Willis, TX
National Provider Identifier
1851901292
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111111 Issued in CA
Practice address
10789 Joann St
Willis, TX 77318-6429
Phone
(786) 244-7711
NPI assigned
Jul 31, 2020
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61459983 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0997576 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111111 CA Primary
Registered Nurse 163W00000X 61458107 WA
Registered Nurse 163W00000X 669444 NY
Registered Nurse 163W00000X 1678350 CO
Registered Nurse 163W00000X 95083727 CA

Addresses

Primary practice location

10789 Joann St
Willis, TX 77318-6429

Mailing address

10789 Joann St
Willis, TX 77318-6429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201026001486 CA Practitioner - Nurse Practitioner 1658791983 Reassigns benefits to 2 organizations
I20240223001719 CO Practitioner - Nurse Practitioner 1658791983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Zalewski-Zaragoza MD IncGroup PAC ID 6507084191, 10 clinicians
Global Behavioral Healthcare LLCGroup PAC ID 2062856552, 2 clinicians

Practice addresses (Care Compare)

1350 Columbia St
Unit 800
San Diego, CA 92101-3456
Phone (619) 255-1652

1385 S Colorado Blvd
Suite 306
Denver, CO 80222-3365
Phone (720) 822-5611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95083727CAMDRegistered Nurse
1678350COMDRegistered Nurse
669444NYMDRegistered Nurse
61458107WAMDRegistered Nurse
0997576COMDPsychiatric/Mental Health Nurse Practitioner
61459983WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Zalewski-Zaragoza, MD, Inc CurrentSince Apr 23, 2024 Accepting new patients
Lilium Psychiatric Nursing Services Inc CurrentSince Apr 2, 2024 Accepting new patients
Inspire Psychiatric Nursing Services Inc Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients
Global Behavioral Healthcare CurrentSince Feb 5, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Oct 26, 2020 Accepting new patients

Locations

2382 Faraday Ave
Ste 100
Carlsbad, CA 92008
Phone (858) 209-9871

1350 Columbia St
Unit 800
San Diego, CA 92101
Phone (619) 244-4420

1385 S Colorado Blvd
Ste 306
Denver, CO 80222
Phone (303) 722-2208

Organizations & group practices 5

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1851901292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10789 JOANN ST",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773186429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10789 JOANN ST",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773186429",
            "telephone_number": "786-244-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "BOHAN",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61459983",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0997576",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "111111",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "61458107",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "669444",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1678350",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95083727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

Verify at the official NPI Registry.