Bogdana Jaliu, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10457 Issued in FL

Practice address

267 John Knox Rd Ste 105
Tallahassee, FL 32303-6692

Phone

(678) 900-7149

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bogdana Anton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1639730096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 OLD BAINBRIDGE RD APT 1002B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033850",
            "telephone_number": "678-900-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 JOHN KNOX RD STE 105",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036692",
            "telephone_number": "678-900-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALIU",
        "first_name": "BOGDANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOGDANA",
            "last_name": "ANTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Floyd R Jaggears, MD
• Haley Jahn
• Amit Jain, M.D.
• Sara Jakab, DPT
• Candace Jakes
• Hashanna Jallow
• James a Carey Jr DDS PA
• James a Stephens OD & Associates PA
• James a Stephens, OD & Associates PA
• James Tagoni DMD MD PLLC

• Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.