Tara Mabel Brannon Bogs
PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC


Address: 1075 Smith St, Suite 2, Providence, RI 02908-2700
Phone: 4013699224

Tara Mabel Brannon Bogs (NPI# 1043385081, PAC ID# 1355678319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1043385081
PAC ID by PECOS 1355678319
Professional Enrollment ID I20190814000157
Full Name Tara Mabel Brannon Bogs
Organization Legal Name PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC
Address 1075 Smith St
Suite 2
Providence
RI 02908-2700
Phone Number 4013699224
Gender F
Graduation Year 1996
Primary Specialty PSYCHOLOGIST, CLINICAL
Group Practice PAC ID 3274798236
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1075 Smith St, Suite 2, Providence, RI 02908-2700 4013699224 PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC

Organization Information

Organization Legal Name PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC
Physicians 13

Physicians with the same organization

Name Specialty Organization Address
Courtney Mccarthy Clinical Social Worker Providence Behavioral Health Associates Inc 1086 Smith St, Providence, RI 02908-2738
John Charette Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Leah Elizabeth Shavalier Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Catherine Hoefliger-gallo Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Randi J Braunstein Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Michael D Brodeur Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Terri Lupoli Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
John F Todaro Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Michael Geoghegan Nurse Practitioner Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Erin M Rabideau Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700

Office Location

Street Address 1075 SMITH ST
SUITE 2
City PROVIDENCE
State RI
Zip 02908-2700

Physicians in the same location

Name Specialty Organization Address
John Charette Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Leah Elizabeth Shavalier Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Catherine Hoefliger-gallo Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Randi J Braunstein Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Michael D Brodeur Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Terri Lupoli Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
John F Todaro Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Michael Geoghegan Nurse Practitioner Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Erin M Rabideau Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Brian Albano Podiatry 1075 Smith St, Providence, RI 02908-2700
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Edward T Gallucci Chiropractic 1337 Smith St, North Providence, RI 02908-1823
Sean Manchester Clinical Social Worker 19 Trinity Pkwy, Providence, RI 02908-1932
Nicholas Bruno Physical Therapy 667 Academy Ave, Providence, RI 02908-2105
Courtney Mccarthy Clinical Social Worker Providence Behavioral Health Associates Inc 1086 Smith St, Providence, RI 02908-2738
Marcia R Smith Clinical Psychologist Providence Behavioral Health Associates Inc 1086 Smith St, Providence, RI 02908-2738
Julie F Grand-landau Clinical Social Worker Providence Behavioral Health Associates Inc 1086 Smith St, Providence, RI 02908-2738
Rebecca M Brown Geriatric Medicine Prospect Chartercare Rwmc, LLC 700 Smith St, North Providence, RI 02908-3500
John A Stoukides Geriatric Medicine Prospect Chartercare Rwmc, LLC 700 Smith St, North Providence, RI 02908-3500
Jenny R David Obstetrics/gynecology The Providence Community Health Centers Inc. 40 Candace St, Providence, RI 02908-3747
Aftab Iqbal Internal Medicine The Providence Community Health Centers Inc. 40 Candace St, Providence, RI 02908-3747
Find all physicians in zip 02908

Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02908
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty PROVIDENCE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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