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LISA ELLEN BOGRAD MFT
NPI 1780807586
Specialist in Berkeley, CA

Active since April 10, 2007
2936 DOMINGO AVE, BERKELEY, CA 94705(415) 820-3920 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Ellen Bograd Mft NPPES

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

LISA ELLEN BOGRAD MFT (NPI 1780807586) is an individual specialist in Berkeley, California, licensed in California (MFC39608) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1780807586
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA ELLEN BOGRADCredential: MFT
Location Address2936 DOMINGO AVEBerkeley, CA 94705-2443
Mailing Address5928 Ascot DrOakland, CA 94611-2705 · (510) 530-3690
Phone(415) 820-3920
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780807586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · MFC39608
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2936 DOMINGO AVE, Berkeley, CA 94705
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Other Providers at the Same Location NPPES

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

DR. CATHERINE MORRISON NOVOTNY PH.D.
Psychologist (Clinical)
2936 DOMINGO AVE
BERKELEY, CA 94705
Alameda County (510) 367-4547

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 Lisa Bograd's NPI number?

The NPI number for Lisa Bograd is 1780807586. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Lisa Bograd located?

Lisa Bograd practices at 2936 Domingo Ave, Berkeley, CA 94705. The listed phone number is (415) 820-3920.

What is Lisa Bograd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Bograd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.