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DR. JACQUELYN BOGDANOV PSYD
NPI 1194230599
Psychologist - Clinical in Milwaukee, WI

Active since December 06, 2017
9302 W BLUEMOUND RD, MILWAUKEE, WI 53226(262) 289-8379 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2019, Dec 6, 2017 (2 updates tracked since 2017).

About Dr. Jacquelyn Bogdanov Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELYN BOGDANOV PSYD (NPI 1194230599) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (3661-57) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1194230599
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACQUELYN BOGDANOVCredential: PSYD
Location Address9302 W BLUEMOUND RDMilwaukee, WI 53226-4449
Mailing Address9302 W Bluemound RdMilwaukee, WI 53226-4449 · (262) 289-8379
Phone(262) 289-8379
Sole ProprietorYes
Enumeration DateDecember 6, 2017
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1194230599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 3661-57
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9302 W BLUEMOUND RD, Milwaukee, WI 53226
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Bogdanov's NPI number?

The NPI number for Jacquelyn Bogdanov is 1194230599. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Jacquelyn Bogdanov located?

Jacquelyn Bogdanov practices at 9302 W Bluemound Rd, Milwaukee, WI 53226. The listed phone number is (262) 289-8379.

What is Jacquelyn Bogdanov's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Bogdanov was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.