DMITRI BOUGAKOV PH.D. PSYCHOLOGY PLLC
NPI 1326287426
Clinical Neuropsychologist in New York, NY

Q: What is Dmitri Bougakov Ph.D. Psychology PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since February 12, 2009

315 W 57TH ST, SUITE 401, NEW YORK, NY 10019(212) 541-6412 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dmitri Bougakov Ph.d. Psychology Pllc NPPES

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

DMITRI BOUGAKOV PH.D. PSYCHOLOGY PLLC (NPI 1326287426) is a healthcare organization registered as a clinical neuropsychologist in New York, New York and active in the NPI registry since February 2009. The organization lists Dmitri Bougakov, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1326287426

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameDMITRI BOUGAKOV PH.D. PSYCHOLOGY PLLC

Location Address315 W 57TH ST, SUITE 401New York, NY 10019-3158

Mailing Address340 E Mosholu Pkwy S, Apartment 6gBronx, NY 10458-1742 · (646) 496-8963

Phone(212) 541-6412

Organization SubpartNo

Authorized OfficialDmitri BougakovSole Proprietor · (646) 496-8963

Enumeration DateFebruary 12, 2009

✔ NPI 1326287426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NY · 017107

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

315 W 57TH ST, New York, NY 10019

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

PARK WEST RADIOLOGY, PC

Radiology (Diagnostic Ultrasound)

315 W 57TH ST
NEW YORK, NY 10019

New York County (212) 874-6362

I. EDUARDO TERRERO, DENTIST P.C.

Dentist

315 W 57TH ST
NEW YORK, NY 10019

New York County (646) 624-2270

ALTUS NEUROSURGERY AND SPINE PLLC

Specialist

315 W 57TH ST, APT 15J
NEW YORK, NY 10019

New York County (646) 588-1506

MOLLIE ELIASOF LCSW THERAPY PLLC

Social Worker (Clinical)

315 W 57TH ST, SUITE 307
NEW YORK, NY 10019

New York County (646) 685-4285

DR. ERIC S LASSER PHD

Psychologist

315 W 57TH ST, SUITE 402
NEW YORK, NY 10019

New York County (212) 262-9760

SHARON RICHTER

Specialist

315 W 57TH ST, SUITE 303
NEW YORK, NY 10019

New York County (212) 977-7779

DR. SUSAN B. ROANE PH.D.

Psychologist (Clinical)

315 W 57TH ST, SUITE 410
NEW YORK, NY 10019

New York County (347) 725-0080

MISS LYDIA LEINSDORF MSW

Social Worker

315 W 57TH ST, 10D
NEW YORK, NY 10019

New York County (917) 628-3353

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 Dmitri Bougakov Ph.D. Psychology PLLC's NPI number?

The NPI number for Dmitri Bougakov Ph.D. Psychology PLLC is 1326287426. It was assigned to this organization in the NPPES registry on February 12, 2009.

Where is Dmitri Bougakov Ph.D. Psychology PLLC located?

Dmitri Bougakov Ph.D. Psychology PLLC is located at 315 W 57th St Suite 401, New York, NY 10019. The listed phone number is (212) 541-6412.

What is Dmitri Bougakov Ph.D. Psychology PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Dmitri Bougakov Ph.D. Psychology PLLC was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.