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DMITRI BOUGAKOV PH.D.
NPI 1851414031
Clinical Neuropsychologist in New York, NY

Active since April 10, 2007
315 W 57TH ST, SUITE 401, NEW YORK, NY 10019(646) 496-8963 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dmitri Bougakov Ph.d. NPPES

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

DMITRI BOUGAKOV PH.D. (NPI 1851414031) is an individual clinical neuropsychologist in New York, New York, licensed in New York (68 017107) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1851414031
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDMITRI BOUGAKOVCredential: PH.D.
Location Address315 W 57TH ST, SUITE 401New York, NY 10019-3158
Mailing Address315 W 57th St, Suite 401New York, NY 10019-3158 · (646) 496-8963
Phone(646) 496-8963
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 25, 2008
✔ NPI 1851414031 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 · 68 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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Other Identifiers 2

Medicaid02969217NY
Medicare PINVN4541NY

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's NPI number?

The NPI number for Dmitri Bougakov is 1851414031. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Dmitri Bougakov located?

Dmitri Bougakov practices at 315 W 57th St Suite 401, New York, NY 10019. The listed phone number is (646) 496-8963.

What is Dmitri Bougakov'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 was last updated on November 25, 2008. 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.