Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. GREG ROBERT BODEN
NPI 1093629073
Counselor - School in Fresno, CA

Q: What is Greg Boden's NPI number?

The NPI number for Greg Boden is 1093629073. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Q: What is Greg Boden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Q: When was this NPI record last updated?

The NPPES record for Greg Boden was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2026

5550 N 1ST ST, FRESNO, CA 93710(559) 451-4010 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mr. Greg Robert Boden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREG ROBERT BODEN (NPI 1093629073) is an individual school provider in Fresno, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1093629073

Entity TypeIndividualMale

Primary Taxonomy101YS0200X

Provider Legal NameMR. GREG ROBERT BODEN

Location Address5550 N 1ST STFresno, CA 93710-6201

Mailing Address5550 N 1st StFresno, CA 93710-6201 · (559) 451-4010

Phone(559) 451-4010

Sole ProprietorNo

Enumeration DateSeptember 29, 2026

NPPES CertifiedSeptember 29, 2026

✔ NPI 1093629073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers

Taxonomy Code101YS0200X

5550 N 1ST ST, Fresno, CA 93710

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMINENCE HEALTHCARE SERVICES, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 451-4000

CHEYENNE MIRACLE RAYMOND ATC

Specialist/Technologist (Athletic Trainer)

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 451-4000

AMY GONZALEZ

Counselor (School)

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 451-4000

DONNA HER PPSC

Counselor (School)

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 451-4000

WESTCARE CALIFORNIA, INC

Community/Behavioral Health

5550 N 1ST ST, HOOVER HIGH SCHOOL
FRESNO, CA 93710

Fresno County (559) 251-4800

MR. RUSSELL KEANE GOOLSBY JR. MS

Counselor (School)

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 451-4017

HOOVER HIGH SCHOOL

Community/Behavioral Health

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 981-2143

VIANNEY MENDOZA

Counselor (School)

5550 N 1ST ST
FRESNO, CA 93710

Fresno County (559) 451-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greg Boden's NPI number?

The NPI number for Greg Boden is 1093629073. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Greg Boden located?

Greg Boden practices at 5550 N 1st St, Fresno, CA 93710. The listed phone number is (559) 451-4010.

What is Greg Boden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Greg Boden was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.