Clara a. Bozievich, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CLARA A. BOZIEVICH, M.D., LLC

Practice address

410 NW Walnut Blvd Ste C
Corvallis, OR 97330-3890

Phone

(541) 286-6715

Fax

(541) 286-6716

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Clara A Bozievich, MDNPI 1326105040

Title

Owner

Phone

(541) 286-6715

Specialties & licenses 1

Addresses

Other names 1

• Clara A. Bozievich, M.D. P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clara A Bozievich, MD

  • Specialist
  • Corvallis, OR
  • NPI 1326105040
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1861091670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NW CIRCLE BLVD STE 160-299",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301483",
            "telephone_number": "541-286-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NW WALNUT BLVD STE C",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303890",
            "telephone_number": "541-286-6715",
            "fax_number": "541-286-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA A. BOZIEVICH, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "BOZIEVICH",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-286-6715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara A. Bozievich, M.D. P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• City of Corvallis
• Miya Claborn
• Kailey Janet Claggett, LPC
• Krystal Jacinta Clampitt, LCSW
• Joan Louise Clapper, OTR
• Maria R. Clark-Harmon, ANP
• Ana Clark, BSN RN
• Beau Cameron Clark
• Cameron Clark, DMD
• Cody Clark

• Psychiatry Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.