Individual provider Active NPI

Naomi Michelle Dogan, PH.D.

  • Clinical Psychologist
  • Bedford, MA
National Provider Identifier
1346356979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7934 Issued in MA
Practice address
200 Great Rd
Suite 232
Bedford, MA 01730-2711
Phone
(781) 275-1800
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

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
Clinical Psychologist 103TC0700X 7934 MA Primary

Addresses

Primary practice location

200 Great Rd
Suite 232
Bedford, MA 01730-2711

Mailing address

200 Great Rd
Suite 232
Bedford, MA 01730-2711
Phone (781) 275-1800

Other identifiers 1

IdentifierTypeStateIssuer
7934OtherMALICENSED PSYCHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 28, 2016 through Sep 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7934MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346356979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREAT RD",
            "address_2": "SUITE 232",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302711",
            "telephone_number": "781-275-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREAT RD",
            "address_2": "SUITE 232",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302711",
            "telephone_number": "781-275-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGAN",
        "first_name": "NAOMI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "7934",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.