NATHAN BOHY PSY.D.
NPI 1255656617
Psychologist - Clinical in San Diego, CA

Q: What is Nathan Bohy's NPI number?

The NPI number for Nathan Bohy is 1255656617. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Q: What is Nathan Bohy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Bohy was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 29, 2010PECOS EnrolledAccepts Medicare Assignment

3990 OLD TOWN AVE STE A208, SAN DIEGO, CA 92110(619) 630-7208(619) 924-8122 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nathan Bohy Psy.d. NPPES

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

NATHAN BOHY PSY.D. (NPI 1255656617) is an individual clinical provider in San Diego, California, licensed in California (27810) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255656617

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameNATHAN BOHYCredential: PSY.D.

Location Address3990 OLD TOWN AVE STE A208San Diego, CA 92110-2967

Mailing Address3990 Old Town Ave Ste A208San Diego, CA 92110-2967 · (619) 630-7208 · Fax (619) 924-8122

Phone(619) 630-7208

Fax(619) 924-8122

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 29, 2010

Last NPPES UpdateJanuary 23, 2018

✔ NPI 1255656617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 27810

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3990 OLD TOWN AVE STE A208, San Diego, CA 92110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Bohy Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951607050

PECOS Enrollment IDI20160316001325

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nathan Bohy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duet Psychological Services, Inc.

Same address

Clinical

3990 OLD TOWN AVE STE A208
San Diego, CA 92110

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1790304947 (619) 794-4229

Family Health Centers Of San Diego Inc

1.7 mi

Federally Qualified Health Center (FQHC)

4094 4TH AVE
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
1,100 clinicians in this Medicare group

NPI 1629456900 (619) 515-2545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DEBORAH COSMETIS PSY.D.

Psychologist (Clinical)