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BJORN LARS GOTHBERG
NPI 1164872792
Marriage & Family Therapist in Upland, CA

Active since June 14, 2016
1106 W 22ND ST, UPLAND, CA 91784(909) 949-8181 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Aug 19, 2020, Jun 14, 2016 (3 updates tracked since 2016).

About Bjorn Lars Gothberg NPPES

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

BJORN LARS GOTHBERG (NPI 1164872792) is an individual marriage & family therapist in Upland, California, licensed in California (130805) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1164872792
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBJORN LARS GOTHBERG
Location Address1106 W 22ND STUpland, CA 91784-1231
Mailing Address237 W Mill StSan Bernardino, CA 92408-1403 · (909) 388-5600 · Fax (909) 386-5289
Phone(909) 949-8181
Sole ProprietorNo
Enumeration DateJune 14, 2016
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1164872792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 130805
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1106 W 22ND ST, Upland, CA 91784
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Other Providers at the Same Location NPPES 3

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

MICHAEL SUDYKA LMFT
Marriage & Family Therapist
1106 W 22ND ST
UPLAND, CA 91784
San Bernardino County (909) 561-7784
CHILDREN'S HOPE GROUP HOME
Residential Treatment Facility, Emotionally Disturbed Children
1106 W 22ND ST
UPLAND, CA 91784
San Bernardino County (909) 561-7784
JOSHUA BORDEN
Rehabilitation Practitioner
1106 W 22ND ST
UPLAND, CA 91784
San Bernardino County (909) 949-8181

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 Bjorn Gothberg's NPI number?

The NPI number for Bjorn Gothberg is 1164872792. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Bjorn Gothberg located?

Bjorn Gothberg practices at 1106 W 22nd St, Upland, CA 91784. The listed phone number is (909) 949-8181.

What is Bjorn Gothberg's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Bjorn Gothberg was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.