Active NPI
Maggie Hogan, PHD
- Psychologist
- Chestnut Hill, MA
National Provider Identifier
1154053585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11935
- Practice address
- 140 Commonwealth Ave
Chestnut Hill, MA 02467-3858 - Phone
- (617) 552-3310
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | PSYC.00014817 | CO | |
| Psychologist | 103T00000X | 11935 | MA | Primary |
Addresses
Primary practice location
140 Commonwealth Ave
Chestnut Hill, MA 02467-3858
Mailing address
140 Commonwealth Ave
Chestnut Hill, MA 02467-3800
Phone (617) 552-3310
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11935 | MA | MD | Psychologist |
| PSYC.00014817 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1154053585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673800",
"telephone_number": "617-552-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673858",
"telephone_number": "617-552-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "MAGGIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "PSYC.00014817",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.