Andrew Vogl

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18792 Issued in CT

Practice address

149 Durham Rd
Madison, CT 06443-2677

Phone

(860) 391-5124

Fax

(800) 664-5812

NPI assigned

Nov 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• The Vogl Program

  • Early Intervention Provider Agency
  • Clinton, CT
  • NPI 1255786638
  NPD (past) Authorized official

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1609249457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAMMOCK PKWY",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132304",
            "telephone_number": "860-391-5124",
            "fax_number": "800-664-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432677",
            "telephone_number": "860-391-5124",
            "fax_number": "800-664-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGL",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-15-18792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION FOR BEHAVIOR ANALYSIS",
            "identifier": "1-15-18792",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bruce Tross, MD
• Noel Arthur Joseph Turner, MD
• Victoria Marilyn Vaillancourt
• Frank Valdez, LCSW
• Saraswathi Vedam, MSN CNM
• Leah Gynell Wallace, PA-C
• Sarah Warchol
• Julie Colangelo Ward
• Wargo & Associates, LLC
• Katherine Wargo, DNP, APRN,RN

• Behavior Analyst in Madison, CT
• Providers in Madison, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.