Individual provider Active NPI

Hannah Ryan Bogoian, PH.D.

  • Clinical Neuropsychologist
  • Norwich, CT
National Provider Identifier
1528737665
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
005162 Issued in CT
Practice address
150 Otrobando Ave
Norwich, CT 06360-2116
Phone
(860) 889-7274
NPI assigned
Sep 11, 2021
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 005162 CT Primary

Addresses

Primary practice location

150 Otrobando Ave
Norwich, CT 06360-2116

Mailing address

132 David Rd
Durham, CT 06422-2615
Phone (413) 320-6907

Other names 1

  • Hannah Ryan Michalak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023002207 CT Practitioner - Clinical Psychologist 1456849173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Neuropsychological Associates LLCGroup PAC ID 9638494446, 13 clinicians

Practice addresses (Care Compare)

150 Otrobando Ave
Norwich, CT 06360-2116
Phone (860) 889-7274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5162CTMDCounselor
005162CTMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Neuropsychological Associates, LLC Clinical Neuropsychologist CurrentSince Nov 1, 2025 Accepting new patients
Eastern Connecticut Rehabili PastSince Sep 3, 2025 Accepting new patients

Locations

150 Otrobando Ave
Norwich, CT 06360
Phone (860) 889-1948

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1528737665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DAVID RD",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064222615",
            "telephone_number": "413-320-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OTROBANDO AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-889-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOIAN",
        "first_name": "HANNAH",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "005162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MICHALAK",
            "middle_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.