DR. BRYAN W BOVITZ PHD
NPI 1689824518
Psychologist - Clinical in Cannon Afb, NM

Q: What is Bryan Bovitz's NPI number?

The NPI number for Bryan Bovitz is 1689824518. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Q: What is Bryan Bovitz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryan Bovitz was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since September 29, 2008

208 CASABLANCA AVE., 27 SGOMH, CANNON AFB, NM 88101(575) 784-1108(575) 784-4624 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Bryan W Bovitz Phd NPPES

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

DR. BRYAN W BOVITZ PHD (NPI 1689824518) is an individual clinical provider in Cannon Afb, New Mexico, licensed in Washington (PY00003930) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1689824518

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRYAN W BOVITZCredential: PHD

Location Address208 CASABLANCA AVE., 27 SGOMHCannon Afb, NM 88101-5014

Mailing Address77 Nealy AveLangley Afb, VA 23665-2040 · (757) 764-6840

Phone(575) 784-1108

Fax(575) 784-4624

Sole ProprietorYes

Enumeration DateSeptember 29, 2008

Last NPPES UpdateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1689824518 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 WA · PY00003930

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.

208 CASABLANCA AVE., Cannon Afb, NM 88101

Open in Google Maps ↗

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 Bryan Bovitz's NPI number?

The NPI number for Bryan Bovitz is 1689824518. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Bryan Bovitz located?

Bryan Bovitz practices at 208 Casablanca Ave. 27 Sgomh, Cannon Afb, NM 88101. The listed phone number is (575) 784-1108.

What is Bryan Bovitz'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 Bryan Bovitz was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.