Individual provider Active NPI

Shlomo Bogart, LPCA

  • Counselor
  • Hamden, CT
National Provider Identifier
1235852369
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5384 Issued in CT
Practice address
1844 Whitney Ave
Hamden, CT 06517-1400
Phone
(203) 407-1310
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227000722 CT Practitioner - Mental Health Counselor 6507216942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5384CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New Haven Counseling and Family Therapy Center, LLP CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.