Kathy S. Bolgatz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17488 Issued in NH

Practice address

50 Nashua Rd Ste 305
Londonderry, NH 03053-3444

Phone

(603) 689-7957

NPI assigned

May 26, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2017.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510358400000",
    "number": "1457586158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NASHUA RD STE 305",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NASHUA RD STE 305",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533444",
            "telephone_number": "603-689-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGATZ",
        "first_name": "KATHY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2017-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "17488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Boles, MSW, LICSW
• Scott Christopher Bonneau Jr., FNP-BC
• Nicole Pauline Bouchard, LCMHC
• Raina Louise Bouchard, APRN
• Alyssa Boudreau
• Brianna Boulanger, APRN

• All providers in Londonderry, NH
• Psychiatry Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; 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.