Active NPI
Shlomo Bogart, LPCA
- Counselor
- Hamden, CT
National Provider Identifier
1235852369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5384
- Practice address
- 1844 Whitney Ave
Hamden, CT 06517-1400 - Phone
- (203) 407-1310
- NPI assigned
- Sep 23, 2022
- Last updated
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5384 | CT | Primary |
Addresses
Primary practice location
1844 Whitney Ave
Hamden, CT 06517-1400
Mailing address
1066 Whitney Ave
Hamden, CT 06517-3463
Phone (646) 763-1424
Other names 1
- Solomon Bogart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5384 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater New Haven Counseling and Family Therapy Center, LLP | Current | Accepting new patients |
Locations
1844 Whitney Ave
Hamden, CT 06517
Phone (203) 407-1310
1844 Whitney Ave
Ste 2
Hamden, CT 06517
Phone (203) 407-1310
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Hamden, CT
- NPI 1780120063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1235852369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065173463",
"telephone_number": "646-763-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065171400",
"telephone_number": "203-407-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGART",
"first_name": "SHLOMO",
"name_prefix": "Mr.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "5384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOLOMON",
"last_name": "BOGART",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.