Jose Pablo Bogantes-Montero, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

2014-01009 Issued in NC

Practice address

3000 Staffield LN
Chapel Hill, NC 27516-9675

Phone

(252) 412-2523

NPI assigned

Jun 12, 2009

Last updated

Apr 17, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.bogantes-montero.1@18773.direct.athenahealth.com

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.

• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1477012813
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Four County Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1841290251
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1972644334
  NPD
• Four County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1598845984
  NPD
• Greenbrook TMS Winston-Salem LLC

  • Clinic/Center
  • Winston Salem, NC
  • NPI 1659879104
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1659508000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 STAFFIELD LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169675",
            "telephone_number": "252-412-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 STAFFIELD LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169675",
            "telephone_number": "252-412-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGANTES-MONTERO",
        "first_name": "JOSE",
        "middle_name": "PABLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2014-01009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Bodzin Kadens, LCSW
• Jeanna Turner Boeckler, SLP
• Brian A Boehlecke
• Jeanne Gresko Boehlecke, M.S.
• Renae Boerneke, PHARMD
• Christina Bogardus, RD
• John F Boggess, MD
• Kim Ann Boggess, MD
• Victoria Boggiano
• Corinne Joell Bohling, P.T.

• Child & Adolescent Psychiatry Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.