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DR. OLIVIA EMILY BOGUCKI PHD
NPI 1265011126
Psychologist - Clinical in Boston, MA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
55 FRUIT STREET, BUL 2, BOSTON, MA 02114(617) 643-7972 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Dr. Olivia Emily Bogucki Phd NPPES

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

DR. OLIVIA EMILY BOGUCKI PHD (NPI 1265011126) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (11557) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265011126
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. OLIVIA EMILY BOGUCKICredential: PHD
Location Address55 FRUIT STREET, BUL 2Boston, MA 02114-2696
Mailing Address55 Fruit Street, Bul 2Boston, MA 02114-2696
Phone(617) 643-7972
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1265011126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 11557
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT STREET, Boston, MA 02114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Olivia Emily Bogucki Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133517048
PECOS Enrollment IDI20211026002540
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
76 services21 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
29 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KUI TOH GERARD LEONG M.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8862
MS. JACQUELINE BANGO LICSW
Social Worker (Clinical)
55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114
Suffolk County (617) 643-8281
SARA ELIZABETH GROSSLEIN PA
Physician Assistant
55 FRUIT STREET, WHITE 1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JEFFREY M ELLENBOGEN M.D.
Psychiatry & Neurology (Neurology)
55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114
Suffolk County (617) 724-7419
DR. NANCY LEE HARRIS MD
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-5155
DR. STANLEY YANG SHAW MD PHD
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-6750
LEONARDO V RIELLA M.D., PHD
Internal Medicine
55 FRUIT STREET, WHITE 5
BOSTON, MA 02114
Suffolk County (617) 726-5050
SUSAN MAHER CRNA
Nurse Anesthetist, Certified Registered
55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-3030

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 Olivia Bogucki's NPI number?

The NPI number for Olivia Bogucki is 1265011126. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Olivia Bogucki located?

Olivia Bogucki practices at 55 Fruit Street Bul 2, Boston, MA 02114. The listed phone number is (617) 643-7972.

What is Olivia Bogucki's specialty?

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

Is Olivia Bogucki enrolled in Medicare?

Yes. Olivia Bogucki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Olivia Bogucki accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Olivia Bogucki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Olivia Bogucki affiliated with any hospitals?

According to CMS data, Olivia Bogucki is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Olivia Bogucki was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.