Elevate Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ELEVATE PSYCHOLOGICAL SERVICES, LLC

Practice address

58 Main St Ste 303
East Greenwich, RI 02818-3888

Phone

(401) 626-5334

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tara B Bogs, PHD

Title

Psychologist/ Owner

Phone

(401) 626-5334

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elevate Psychological Services, LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Mabel Brannon Bogs, PH.D.

  • Clinical Psychologist
  • Warwick, RI
  • NPI 1043385081
  NPD

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1467189217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 BLUEBERRY DR",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028182615",
            "telephone_number": "401-626-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MAIN ST STE 303",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183888",
            "telephone_number": "401-626-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "BOGS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "401-626-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043385081",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@elevate-psychology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "58 Main St Ste 303",
            "city": "East Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028183888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elevate Psychological Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychologist in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.