DR. KATHLEEN RAY BHOGAL (NPI# 1912288556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912288556 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN RAY BHOGAL |
| Credential | PSY.D. |
| Practice Address |
987 Old Eagle School Rd Suite 719 Wayne PA 19087-1708 |
| Mailing Address |
760 Oak View Road Ardmore PA 19003 |
| Practice Telephone | 6109712277 |
| Practice Fax Number | 6109710144 |
| Mailing Telephone | 6109712277 |
| Mailing Fax Number | 6109710144 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS017028 | PA | Behavioral Health & Social Service Providers |
| Street Address |
987 OLD EAGLE SCHOOL RD SUITE 719 |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512610 | Nadine Jill Carpenter | Social Worker | 987 Old Eagle School Rd, Suite 719, Wayne, PA 19087-1708 | 2005-10-18 |
| 1427593227 | Breastfeeding Resource Center | Registered Nurse | 987 Old Eagle School Rd, Wayne, PA 19087-1708 | 2017-01-03 |
| 1295159960 | Natalie Sheridan | Psychologist | 987 Old Eagle School Rd, Wayne, PA 19087-1708 | 2014-02-14 |
| 1477976751 | Tara Wheeler | Psychologist | 987 Old Eagle School Rd, Suite 719, Wayne, PA 19087-1708 | 2014-01-22 |
| 1851641328 | Nancy Mccarel, Phd and Associates, LLC | Psychologist | 987 Old Eagle School Rd, Suite 719, Wayne, PA 19087-1708 | 2012-09-12 |
| 1336350487 | Shelley Marged Weber | Psychologist | 987 Old Eagle School Rd, Suite 712, Wayne, PA 19087-1708 | 2007-05-24 |
| 1275750614 | Carol A. Cobb-nettleton | Social Worker | 987 Old Eagle School Rd, Suite 719, Wayne, PA 19087-1708 | 2007-04-19 |
| 1073645867 | Mary Pat Mazda | Social Worker | 987 Old Eagle School Rd, Suite #712 Bldg K, Wayne, PA 19087 | 2007-03-09 |
| 1588709562 | Laura Sanchez | Psychiatry & Neurology | 987 Old Eagle School Rd, Wayne, PA 19087-1708 | 2007-02-20 |
| 1932255205 | Karen L. Schwartz | Psychologist | 987 Old Eagle School Rd, Suite 712, Wayne, PA 19087-1708 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1245744614 | Brian Mcmanus | Psychologist | 121 N Wayne Ave Ste 304, Wayne, PA 19087-3542 | 2017-11-21 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| 1750723318 | Rebecca Cowell | Psychologist | 34826 Richard St, Wayne, MI 48184-2332 | 2013-07-24 |
| 1811207947 | Andrew Hathorn Mcmeekin Sr. | Psychologist | 121 N. Wayne Ave, Suite 300, Wayne, PA 19087 | 2010-10-07 |
| 1760656599 | Linda A May | Psychologist | 6 Radnor Way Ofc Building, Wayne, PA 19087-5134 | 2008-04-14 |
| 1568670222 | Pilar Poal | Psychologist | 987 Old Eagle School Road, Suite 719, Evolve Corporate Center East, Wayne, PA 19087 | 2007-05-18 |
| 1770701567 | Adelina Smith | Psychologist | 201 Pennsylvania Ave, Wayne, PA 19087-3539 | 2007-04-24 |
| 1598980757 | Donna M Cangelosi | Psychologist | 3 Swiss Ter, Wayne, NJ 07470-4239 | 2007-04-14 |
| 1124142468 | Bfc Networks, Ltd | Psychologist | 939 Radnor Rd, Wayne, PA 19087-2701 | 2007-03-19 |
| Find all providers in WAYNE | ||||
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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.