Active NPI
Emily Bonneville Ogden, PH.D.
- Clinical Psychologist
- Astoria, NY
National Provider Identifier
1487990669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 019841
- Practice address
- 3051 36TH St
First Floor
Astoria, NY 11103-4704 - Phone
- (301) 641-7878
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 019841 | NY | Primary |
Addresses
Primary practice location
3051 36TH St
First Floor
Astoria, NY 11103-4704
Mailing address
3051 36TH St
First Floor
Astoria, NY 11103-4704
Phone (301) 641-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1487990669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 36TH ST",
"address_2": "FIRST FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034704",
"telephone_number": "301-641-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 36TH ST",
"address_2": "FIRST FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034704",
"telephone_number": "301-641-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGDEN",
"first_name": "EMILY",
"middle_name": "BONNEVILLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.