Active NPIIndividual provider

Dr. Olivia E Bogucki, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1265011126
Practice location
55 Fruit Street, Bul 2, Boston, MA 02114-2696
Fax
—
Last updated
September 23, 2021

Olivia Emily Bogucki is a Psychologist, Clinical based in Boston, MA. Olivia Emily Bogucki practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Olivia Emily Bogucki is 1265011126 and holds a License No. 11557 (MA). The current practice location address for Olivia Emily Bogucki is 55 Fruit Street, Bul 2, Boston, MA 02114-2696 and can be reached out via phone at 617-643-7972.

Provider Profile Details

NPI Number
1265011126
Provider Name
Olivia Emily Bogucki
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit Street, Bul 2, Boston, MA 02114-2696
Phone Number
617-643-7972
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2021
Last Update Date
September 23, 2021
Certification Date
September 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit Street
Bul 2
Boston, MA 02114-2696
City
Boston
Zip
02114-2696
Phone Number
617-643-7972
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
55 Fruit Street
Bul 2
Boston, MA 02114-2696
City
Boston
State
MA
Zip
02114-2696

License Information

License Number (2)
11557
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Olivia E Bogucki, PHD?

The NPI number of Dr. Olivia E Bogucki, PHD is 1265011126. It was assigned on April 6, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Olivia E Bogucki, PHD?

Dr. Olivia E Bogucki, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11557.

Where does Dr. Olivia E Bogucki, PHD practice?

The practice location is 55 Fruit Street, Bul 2, Boston, MA 02114-2696. The office can be reached at 617-643-7972 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265011126 directly on the NPPES registry website.

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