Theodore George Boozalis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

PO Box 3080
Redlands, CA 92373-0999

Phone

(909) 748-8108

NPI assigned

Jun 16, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1922933324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26258 REDLANDS BLVD APT 117",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737752",
            "telephone_number": "361-649-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3080",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730999",
            "telephone_number": "909-748-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZALIS",
        "first_name": "THEODORE",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan A E Bolton, M.D.
• Stephanie Lauralynn Bolton, M.D.
• Bonao Family Therapy, Inc.
• Sarah Ellen Bonilla
• Melanie E Bonson, FNP-C
• Fardad Borhani, DMD
• Alexandria Borjon
• Janee Brooke Both-Gragg, PHD, MFT
• Leah Fay Botimer, CPNP
• Kirsten Cathell Boulton, LCSW

• Marriage & Family Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.