DR. JEFFREY T BOGGESS (NPI# 1790717940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790717940 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY T BOGGESS |
| Credential | PH.D. |
| Practice Address |
1115 20th Street Suite 205 Huntington WV 25703 |
| Practice Telephone | 3046911500 |
| Practice Fax Number | 3046911510 |
| Mailing Telephone | 3046911500 |
| Mailing Fax Number | 3046911510 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 544 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE OF PSYCHOLOGY | 544 | 01 |
| WV | 0163845000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215048715 | Jeffrey P Boggess | Family Medicine | 1080 Mount Bachelor Dr, Bend, OR 97702-3280 | 2006-08-31 |
| Street Address |
1115 20TH STREET SUITE 205 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750762720 | Michelle C Hudson | Clinical Neuropsychologist | 1115 20th Street, Suite 205, Huntington, WV 25701 | 2015-06-15 |
| 1174836068 | Muhammad Arslan Muzaffar | Psychiatry & Neurology | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2010-07-20 |
| 1114074002 | Kristina M Bryant-melvin | Psychiatry & Neurology | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
| 1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
| 1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
| 1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
| Find all providers in zip 25703 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854124 | Marianna Linz | Psychologist | 1 John Marshall Dr Dept Of, Huntington, WV 25755-0003 | 2020-06-05 |
| 1003354069 | James Rubin-perez | Psychologist | 23 Barrow Ct, Huntington, NY 11743-4117 | 2017-02-09 |
| 1497125132 | Laura Bickett | Psychologist | 5158 Rt. 60 East, Suite 32, Huntington, WV 25705-2076 | 2015-10-06 |
| 1831513217 | Family Guiding Psychological | Psychologist | 29 Edgar Ct, Huntington, NY 11743-2671 | 2014-02-06 |
| 1366887085 | Elana Rosof, Phd Psychologist LLC | Psychologist | 328 Main St Ste 202, Huntington, NY 11743-6972 | 2013-05-08 |
| 1841574084 | Christopher Jude Fives | Psychologist | 3 Longview Ct, Huntington, NY 11743-1450 | 2011-10-06 |
| 1235429002 | Pamela Lou Dickens-rush | Psychologist | 1418 Lynn St, Huntington, WV 25701-4216 | 2011-04-14 |
| 1528267069 | Dianne Marie Polowczyk | Psychologist | 20 Meadowwood Ct, Huntington, NY 11743-3829 | 2007-07-14 |
| 1780715151 | Doris Jean Rapp | Psychologist | 1219 Hitzfield St, Huntington, IN 46750-4225 | 2007-03-08 |
| 1487703740 | Ralph George Tucci | Psychologist | 775 Park Ave Ste 112, Huntington, NY 11743-7503 | 2007-01-09 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.