Active NPI
Audrey E Boggs, PSY.D.
- Clinical Psychologist
- Calabasas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22027
- Practice address
- 24151 Ventura Blvd Ste 120
Calabasas, CA 91302-1354 - Phone
- (855) 501-1004
- NPI assigned
- Feb 23, 2007
- Last updated
- Apr 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22027 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY22027 | CA |
Addresses
Primary practice location
24151 Ventura Blvd Ste 120
Calabasas, CA 91302-1354
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice location 1
30200 Agoura Rd Ste 190
Agoura Hills, CA 91301-5431
Phone (818) 295-2428
Other practice location 2
5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Phone (925) 282-1778
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22027 | CA | MD | Clinical Child & Adolescent Psychologist |
| 22027 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Clinical | Current | Accepting new patients |
| Jaime Elizabeth Medvene PHD a Professional Psychological Corpora | Clinical | Current | Accepting new patients |
| Family Psychological Services Inc | Current | Accepting new patients |
Locations
30200 Agoura Rd
Ste 190
Agoura Hills, CA 91301
Phone (818) 981-7845
30423 Canwood St
Ste 130
Agoura Hills, CA 91301
Phone (818) 707-7366
30495 Canwood St
Ste 101
Agoura Hills, CA 91301
Phone (818) 707-7366
5012 Chesebro Rd
Ste 200
Agoura Hills, CA 91301
Phone (614) 943-0819
2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612
6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474
1001 Partridge Dr
Ste 110
Ventura, CA 93003
Interoperability endpoints
- lifestancehealth.audreyboggs@148377.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Psychologist
- Agoura Hills, CA
- NPI 1881746733
-
dba Lifestance Health
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA
-
- Clinical Psychologist
- Agoura Hills, CA
- NPI 1306084272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1932235256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24151 VENTURA BLVD STE 120",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021354",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [
{
"address_1": "30200 Agoura Rd Ste 190",
"address_purpose": "LOCATION",
"city": "Agoura Hills",
"state": "CA",
"postal_code": "913015431",
"country_code": "US",
"telephone_number": "818-295-2428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5012 Chesebro Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Agoura Hills",
"state": "CA",
"postal_code": "913012287",
"country_code": "US",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGGS",
"first_name": "AUDREY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22027",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY22027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.