MARY ALLISON BOGDIS
NPI 1649825878
Marriage & Family Therapist in Rancho Cucamonga, CA

Q: What is Mary Bogdis's NPI number?

The NPI number for Mary Bogdis is 1649825878. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Q: What is Mary Bogdis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Bogdis was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 05, 2019PECOS EnrolledAccepts Medicare Assignment

10832 LAUREL ST STE 102, RANCHO CUCAMONGA, CA 91730(909) 987-1997(909) 987-0993 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Aug 5, 2019 (2 updates tracked since 2019).

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About Mary Allison Bogdis NPPES

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

MARY ALLISON BOGDIS (NPI 1649825878) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (113904) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649825878

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARY ALLISON BOGDIS

Location Address10832 LAUREL ST STE 102Rancho Cucamonga, CA 91730-7688

Mailing Address10832 Laurel St Ste 102Rancho Cucamonga, CA 91730-7688 · (909) 987-1997 · Fax (909) 987-0993

Phone(909) 987-1997

Fax(909) 987-0993

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 5, 2019

Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1649825878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 113904

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.

10832 LAUREL ST STE 102, Rancho Cucamonga, CA 91730

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Allison Bogdis 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 ID6103263330

PECOS Enrollment IDI20241226000204

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.

Other Providers at the Same Location NPPES 9

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

OCEAN PACIFIC PSYCHOLOGY

Psychologist (Clinical)