Ideal Self Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

IDEAL SELF THERAPY LLC

Practice address

720 8TH St NE
Rio Rancho, NM 87124-0791

Phone

(505) 226-2191

NPI assigned

Mar 29, 2025

Last updated

Mar 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leah Bogusch, PHDNPI 1295298370

Title

Owner

Phone

(505) 226-2191

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Bogusch, PHD

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1295298370
  NPD Authorized official

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1386447936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MOUNTAIN ROAD PL NE STE N",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 8TH ST NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871240791",
            "telephone_number": "505-226-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SELF THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "BOGUSCH",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-226-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahad Hussain
• Hygiene Center, LLC
• I Am Wellness, LLC (I Am Wellness Acute Care & Walk-in Clinic)
• Dakota Iannone, FNP-BC
• Emmanuel Ibekwe
• Ikigai Family Physician, LLC
• Georgina O Ikpea, MSC,APRN,PMHNP-BC
• Ghasem Imani, M.D.
• Incremental Growth Counseling LLC
• C. Paulina Inigo, MD

• Clinical Psychologist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.