Active NPI
Laura Jean Hogan, MA. LLP
- Clinical Psychologist
- Belleville, MI
National Provider Identifier
1942577614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301007864
- Practice address
- 701 Estrada Dr
Belleville, MI 48111-2994 - Phone
- (734) 697-5120
- NPI assigned
- Nov 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301007864 | MI | Primary |
Addresses
Primary practice location
701 Estrada Dr
Belleville, MI 48111-2994
Mailing address
701 Estrada Dr
Belleville, MI 48111-2994
Phone (734) 697-5120
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1958 | Other | MI | AARP |
| 1958 | Other | MI | ETNA |
| 1958 | Medicaid | MI | |
| 1958 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1958 | Other | MI | UNITES HEALTH CARE |
| 1958 | Other | MI | MICHIGAN BLUE |
| 1958 | Other | MI | BLUE CARE NETWORK |
| 1958 | Other | MI | UNITED HEALTH CARE |
| 1958 | Other | MI | HAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007864 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1942577614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 ESTRADA DR",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112994",
"telephone_number": "734-697-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ESTRADA DR",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112994",
"telephone_number": "734-697-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MA. LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-25",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ETNA",
"identifier": "1958",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITES HEALTH CARE",
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN BLUE",
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "1958",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.