Deborah Ann Bogle, M.A., C.A.A.C.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

C00640 Issued in MI

Practice address

543 Vanderpool Dr
Troy, MI 48083-5151

Phone

(248) 244-2060

Fax

(248) 528-0308

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1285800870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 VANDERPOOL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835151",
            "telephone_number": "248-244-2060",
            "fax_number": "248-528-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 VANDERPOOL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835151",
            "telephone_number": "248-244-2060",
            "fax_number": "248-528-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., C.A.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C00640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lynn Boccaccio, RN
• Mary Frances-Louise Bochinski, CRNA
• Amy Feyer Bodway, PT
• Makenna Bogaard
• Michael Patrick Bogg, CPSS
• Laurie Anne Bohdan, MS, LTDLLP
• Allison M. Bohne, PA
• Marianne Bohne, CRNA
• Yvette L Boileau, P.A.
• Bianca Toma Boji, D.D.S.

• Addiction (Substance Use Disorder) Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Addiction (Substance Use Disorder) Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.