Yolanda K.H. Bogan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6229 Issued in FL

Practice address

1807 Vineland LN
Tallahassee, FL 32317-7925

Phone

(850) 766-0242

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Neighborhood Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1487869467

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1912470741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 VINELAND LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177925",
            "telephone_number": "850-766-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 VINELAND LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177925",
            "telephone_number": "850-766-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "YOLANDA",
        "middle_name": "K.H.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawyer Boakes
• Board of County Commissioners Leon County
• Samantha Boatwright, LCSW
• William Victor Bobo, M.D.
• Body Mechanix Physiotherapy and Fitness LLC
• Stone Bogart, PH.D.
• Kimberly Boggs-Mason
• Mac Bohanan, MD
• Pauline Bohannon
• Oleksandra Bohuslavska, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.