MR. GREGORY C BOGART PH.D, MFT
NPI 1700925716
Counselor - Mental Health in Berkeley, CA
Active since February 06, 2007
About Mr. Gregory C Bogart Ph.d, Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GREGORY C BOGART PH.D, MFT (NPI 1700925716) is an individual mental health provider in Berkeley, California, licensed in California (MFC 28276) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1700925716
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GREGORY C BOGARTCredential: PH.D, MFT
Location Address2046 LINCOLN STREET, SUITE 1Berkeley, CA 94709
Mailing Address2046 Lincoln St., Suite 1Berkeley, CA 94709-9470 · (510) 594-4329
Phone(510) 594-4329
Sole ProprietorYes
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700925716 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFC 28276
2046 LINCOLN STREET, Berkeley, CA 94709
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700925716, enumerated as an "individual" on February 06, 2007.
The provider is located at 2046 LINCOLN STREET SUITE 1 BERKELEY, CA 94709 and the phone number is (510) 594-4329.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
