Individual provider Active NPI

Nicholas James Dogris, PH.D.

  • Health Service Psychologist
  • Bishop, CA
National Provider Identifier
1043398233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
PSY 17334 Issued in CA
Practice address
621 W Line St Ste 204
Bishop, CA 93514-3320
Phone
(760) 872-9153
Fax
(760) 873-8007
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X PSY 17334 CA Primary

Addresses

Primary practice location

621 W Line St Ste 204
Bishop, CA 93514-3320

Mailing address

PO Box 426
Bishop, CA 93515-0426
Phone (760) 872-9153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 17334CAMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gamma Jam Brainworks Past Accepting new patients
Nicholas J. Dogris, PH.D., Inc. PastSince Mar 11, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043398233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935150426",
            "telephone_number": "760-872-9153",
            "fax_number": "760-873-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W LINE ST STE 204",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143320",
            "telephone_number": "760-872-9153",
            "fax_number": "760-873-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGRIS",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY 17334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.