DR. JACQUELYN BOGDANOV


Address: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906
Phone: 2627891191

DR. JACQUELYN BOGDANOV (NPI# 1194230599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194230599
Entity Type Individual
Full Name DR. JACQUELYN BOGDANOV
Credential PSYD
Practice Address 16535 W Bluemound Rd Ste 200
Brookfield
WI 53005-5906
Practice Telephone 2627891191
Mailing Telephone 2627891191
Enumeration Date 2017-12-06
Last Update Date 2019-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3661-57 WI Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
6743-125 WI Behavioral Health & Social Service Providers

Office Location

Street Address 16535 W BLUEMOUND RD STE 200
City BROOKFIELD
State WI
Zip Code 53005-5906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477513588 Jessica Joan Suhr Social Worker 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2006-03-23
1538729850 Noelle Giannini Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2019-06-18
1770055170 Heather Mae Klemm Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2018-12-23
1114463080 Sarah Jean Mcdowell Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2017-01-16
1013398726 Nicole Szaniawski Dietitian, Registered 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2015-06-18
1922376839 David S Swoboda Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2011-12-06
1093017196 Michael J. Logan Md, Sc Clinic/Center 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2010-11-22
1700097045 Michelle Kathleen Vanden Noven Psychiatry & Neurology 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2007-05-25
1760508113 Laura E Gray Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2007-03-21
1184788465 Dennis Patrick Frank Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2006-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154937621 Nsk Precision Healing & Wellness Acupuncturist 17040 W. Greenfield Ave #6, Brookfield, WI 53005 2020-09-21
1033772124 Dbt Consultants LLC Social Worker 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 2019-04-15
1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1720509045 Rss William Conner LLC Dentist 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 2017-06-28
1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
1366837346 Maegan Michelle Cook Dentist 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 2015-04-06
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942660600 Allison Sidel Psychologist 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 2016-02-24
1568784114 Rebecca Lynn Thompson Psychologist 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 2010-02-24
1861602609 Douglas Eugene Scarth Psychologist 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 2007-05-23
1932255833 Henry Barron Psychologist 2224 Twin Pond Rd, Brookfield, VT 05036-9540 2007-01-25
1669537015 Lynne Berendsen Psychologist 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 2006-12-26
1356401475 Howard Joel Haven Psychologist 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 2006-12-11
1922172634 Judy A Eager Psychologist 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 2006-11-17
1649361775 Kim Marie Gorecki Psychologist 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 2006-09-27
1427002211 Eric D Seybold Psychologist 12690 W North Ave, Brookfield, WI 53005-4636 2006-05-19
1902344765 Debra Hultquist Psychologist 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005 2017-02-01
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Competitor

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City BROOKFIELD
Zip Code 53005

Improve Information

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Dataset Information

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.

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