DR. KENNETH H BOHM PH.D. NPI 1831296649

NPI Information

  • NPI: 1831296649
  • Provider Name: DR. KENNETH H BOHM, PH.D.
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 8515 DELMAR BLVD
    SUITE 220
    SAINT LOUIS, MO
    ZIP 63124
  • Phone: (314) 567-1044

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NPI Details

DR. Kenneth H Bohm, PH.D. is an addiction (substance use disorder) psychologist in Saint Louis, MO. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Kenneth H Bohm, PH.D. NPI is 1831296649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8515 DELMAR BLVD
SUITE 220
SAINT LOUIS, MO
ZIP 63124-168
Phone: (314) 567-1044
Fax: (314) 567-1060

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)00017MISSOURIYes
2103TC0700XPsychologistClinical00017MISSOURIX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1339528OTHERBJC BEHAVIORAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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