MARY BOGLE PSY D LLC
NPI 1881325892
Psychologist - Clinical in Milwaukie, OR

Q: What is Mary Bogle Psy D LLC's NPI number?

The NPI number for Mary Bogle Psy D LLC is 1881325892. It was assigned to this organization in the NPPES registry on June 21, 2022.

Q: What is Mary Bogle Psy D LLC's specialty?

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

Active since June 21, 2022

11630 SE 40TH AVE STE A, MILWAUKIE, OR 97222(503) 303-3740 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mary Bogle Psy D Llc NPPES

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

MARY BOGLE PSY D LLC (NPI 1881325892) is a healthcare organization registered as a clinical in Milwaukie, Oregon and active in the NPI registry since June 2022. The organization lists Mary Bogle, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1881325892

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMARY BOGLE PSY D LLC

Location Address11630 SE 40TH AVE STE AMilwaukie, OR 97222-6195

Mailing Address5111 Se Lake RdMilwaukie, OR 97222-4767

Phone(503) 303-3740

Organization SubpartNo

Authorized OfficialMary BogleClinical Psychologist · (503) 303-3740

Enumeration DateJune 21, 2022

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1881325892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

11630 SE 40TH AVE STE A, Milwaukie, OR 97222

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Bogle Psy D Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Bogle Psy D LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Bogle

Clinical Psychologist

NPI 1083744536

520 SW 6TH AVE STE 830
Portland, OR 97204

(530) 917-8877

✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mary Bogle Psy D LLC's NPI number?

The NPI number for Mary Bogle Psy D LLC is 1881325892. It was assigned to this organization in the NPPES registry on June 21, 2022.

Where is Mary Bogle Psy D LLC located?

Mary Bogle Psy D LLC is located at 11630 SE 40th Ave Ste A, Milwaukie, OR 97222. The listed phone number is (503) 303-3740.

What is Mary Bogle Psy D LLC's specialty?

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

Is Mary Bogle Psy D LLC enrolled in Medicare?

Yes. Mary Bogle Psy D LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Bogle Psy D LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mary Bogle Psy D LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mary Bogle Psy D LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mary Bogle Psy D LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Bogle Psy D LLC was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.