- Practice location
- 315 W 57TH St, Suite 401, New York, NY 10019-3158
- Phone
- 212-541-6412
- Fax
- —
- Last updated
- February 12, 2009
Dmitri Bougakov Ph.d. Psychology PLLC is a healthcare organization based in New York, NY. Dmitri Bougakov Ph.d. Psychology PLLC practices in New York, NY. The NPI Number for Dmitri Bougakov Ph.d. Psychology PLLC is 1326287426 and holds a License No. 017107 (NY). The current practice location address for Dmitri Bougakov Ph.d. Psychology PLLC is 315 W 57TH St, Suite 401, New York, NY 10019-3158 and can be reached out via phone at 212-541-6412.
Provider Profile Details
- NPI Number
- 1326287426
- Provider Name
- Dmitri Bougakov Ph.d. Psychology PLLC
- Provider Entity Type
- Organization
- Address
- 315 W 57TH St, Suite 401, New York, NY 10019-3158
- Phone Number
- 212-541-6412
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Dmitri Bougakov, PHD · Sole Proprietor · 646-496-8963
- Provider Enumeration Date
- February 12, 2009
- Last Update Date
- February 12, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 315 W 57TH St
Suite 401
New York, NY 10019-3158 - City
- New York
- State
- New York
- Zip
- 10019-3158
- Phone Number
- 212-541-6412
Provider Business Mailing Address Details
- Address
- 340 E Mosholu Pkwy S
Apartment 6G
Bronx, NY 10458-1742 - City
- Bronx
- State
- NY
- Zip
- 10458-1742
- Phone Number
- 646-496-8963
License Information
- License Number
- 017107
- License State
- NY
- Taxonomy
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinical Neuropsychologists near New York, NY
View all Clinical Neuropsychologists in New York →- Advanced Neuropsychology Services, PCClinical Neuropsychologist · NPI 1598088593
- Behavioral And Neuropsychological Consultants, LLPClinical Neuropsychologist · NPI 1730454463
- Bimc Neurobehavioral & Alzheimer Disease Assoc.Clinical Neuropsychologist · NPI 1275562274
- Bimc Neurobehavioral & Alzheimer Disease AssociatesClinical Neuropsychologist · NPI 1770737405
- Christine J Mihaila, PHDClinical Neuropsychologist · NPI 1548469604
- Denise Correa, PHDClinical Neuropsychologist · NPI 1245201276
Frequently Asked Questions
What is the NPI number of Dmitri Bougakov Ph.d. Psychology PLLC?
The NPI number of Dmitri Bougakov Ph.d. Psychology PLLC is 1326287426. It was assigned on February 12, 2009 and is currently active in the NPPES registry.
What is the specialty of Dmitri Bougakov Ph.d. Psychology PLLC?
Dmitri Bougakov Ph.d. Psychology PLLC is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in NY under license number 017107.
Where does Dmitri Bougakov Ph.d. Psychology PLLC practice?
The practice location is 315 W 57TH St, Suite 401, New York, NY 10019-3158. The office can be reached at 212-541-6412 (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 1326287426 directly on the NPPES registry website.