DR. NANCY CLAIRE BOLOGNA PHD, MS, LP
NPI 1790089878
Psychologist - Clinical in Eden Prairie, MN

Q: What is Nancy Bologna's NPI number?

The NPI number for Nancy Bologna is 1790089878. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Q: What is Nancy Bologna's specialty?

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

Q: Is Nancy Bologna enrolled in Medicare?

No. Nancy Bologna has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nancy Bologna was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 04, 2011Opted out of Medicare · through Feb 14, 2028

7525 MITCHELL RD, SUITE 200, EDEN PRAIRIE, MN 55344(612) 360-8305 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nancy Claire Bologna Phd, Ms, Lp NPPES

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

DR. NANCY CLAIRE BOLOGNA PHD, MS, LP (NPI 1790089878) is an individual clinical provider in Eden Prairie, Minnesota, licensed in Minnesota (LP1470) and active in the NPI registry since January 2011. She has opted out of Medicare through February 14, 2028.

NPPES Registry Identity

NPI1790089878

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NANCY CLAIRE BOLOGNACredential: PHD, MS, LP

Location Address7525 MITCHELL RD, SUITE 200Eden Prairie, MN 55344-1959

Mailing Address7525 Mitchell Rd, Suite 200Eden Prairie, MN 55344-1959 · (612) 360-8305

Phone(612) 360-8305

Sole ProprietorYes

Enumeration DateJanuary 4, 2011

✔ NPI 1790089878 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 MN · LP1470

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.

7525 MITCHELL RD, Eden Prairie, MN 55344

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nancy Claire Bologna Phd, Ms, Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 14, 2022 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2022

Opt-Out In Effect ThroughFebruary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

AARON LEANDER GRIER

Counselor (Mental Health)

7525 MITCHELL RD
EDEN PRAIRIE, MN 55344

Hennepin County (952) 224-2282

DR. BRENT ALEXANDER KVAM D.C.,

Chiropractor

7525 MITCHELL RD, SUITE 300
EDEN PRAIRIE, MN 55344

Hennepin County (952) 974-2091

HEALTHSTAR CHIROPRACTIC CENTER, P.A.

Chiropractor

7525 MITCHELL RD, SUITE 300
EDEN PRAIRIE, MN 55344

Hennepin County (952) 974-2091

DAWN CHADY

Counselor (Mental Health)

7525 MITCHELL RD
EDEN PRAIRIE, MN 55344

Hennepin County (952) 224-2282

GREGORY HELENBURG

Counselor (Mental Health)

7525 MITCHELL RD, SUITE 100
EDEN PRAIRIE, MN 55344

Hennepin County (952) 224-2282

JUDITH MARIE HAFNER B.A.

Counselor (Mental Health)

7525 MITCHELL RD, SUITE 100
EDEN PRAIRIE, MN 55344

Hennepin County (952) 224-2282

THUY NGUYEN

Counselor (Mental Health)

7525 MITCHELL RD
EDEN PRAIRIE, MN 55344

Hennepin County (952) 224-2282

JOHN MAYO ANDERSON

Marriage & Family Therapist

7525 MITCHELL RD, SUITE 100
EDEN PRAIRIE, MN 55344

Hennepin County (952) 224-2282

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 Nancy Bologna's NPI number?

The NPI number for Nancy Bologna is 1790089878. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Nancy Bologna located?

Nancy Bologna practices at 7525 Mitchell Rd Suite 200, Eden Prairie, MN 55344. The listed phone number is (612) 360-8305.

What is Nancy Bologna's specialty?

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

Is Nancy Bologna enrolled in Medicare?

No. Nancy Bologna has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nancy Bologna was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.