Mariella L. Hogan, PH.D., Atr-BC, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY-202270 Issued in ID

Legal business name

MARIELLA L. HOGAN, PH.D., ATR-BC, PLLC

Doing business as

Hays Street Counseling

Practice address

1010 W Hays St
Boise, ID 83702-5435

Phone

(208) 284-5273

Fax

(208) 344-1982

NPI assigned

Oct 21, 2010

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mariella L. Hogan, PH.D.

Title

Licensed Psychologist, Owner, MGT

Phone

(208) 284-5273

Specialties & licenses 1

Addresses

Other names 1

• Hays Street Counseling Doing business as

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1699075838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025435",
            "telephone_number": "208-284-5273",
            "fax_number": "208-344-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025435",
            "telephone_number": "208-284-5273",
            "fax_number": "208-344-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Main St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837027360",
            "country_code": "US",
            "telephone_number": "208-284-5273",
            "fax_number": "208-362-2209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARIELLA L. HOGAN, PH.D., ATR-BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MARIELLA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OWNER, MGT",
        "authorized_official_telephone_number": "208-284-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "PSY-202270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hays Street Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Hope Gequillana Marchese, PHARMD
• Cody James Marchetti, DO
• Lisa Marconi, R.N.
• Julie Marcum, APRN
• Mariana Counseling and Wellness, LLC
• Brandi J Marion, M.S., CCC-SLP
• Sarah Deboard Marion, PH.D
• Jodi Lynn Marjonen, RN
• Mark a Jepson PLLC
• Mark a Spelich MD PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.