Charles Alvin Hogan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

EB1138 Issued in CA

Practice address

1415 Ridgeback Rd
Chula Vista, CA 91910-6932

Phone

(619) 656-3775

NPI assigned

Sep 2, 2005

Last updated

Jul 13, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Bernabo & Hogan Psychological Corp.

  • Clinical Psychologist
  • Chula Vista, CA
  • NPI 1629143292
  Authorized official Same address or phone

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881688000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 CAMINITO SANUDO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312103",
            "telephone_number": "619-656-3775",
            "fax_number": "858-549-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106932",
            "telephone_number": "619-656-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CHARLES",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "EB1138",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Ho, M.D., D.O
• Kerry Hochradel
• Shamarra Hodges
• Eric Paul Hofmeister, MD
• Amy Hofreiter
• Lorraine Michelle Hogan, AMFT
• Timothy Patrick Holden, M. D.
• Santiago Holland
• Dustin Holley
• Natalie Hollick, D.O.

• Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.