Mrs Tara Mabel Brannon Bogs, PHD - Psychologist in Warwick, RI

Mrs Tara Mabel Brannon Bogs, PHD is a Psychologist - Clinical based in Warwick, Rhode Island. Mrs Tara Mabel Brannon Bogs is licensed to practice in Rhode Island (license number PS01420) and her current practice location is 400 Bald Hill Rd, Suite 517, Warwick, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 732-1500.

NPI number for Mrs Tara Mabel Brannon Bogs is 1043385081 and her current mailing address is 1075 Smith St, Providence, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043385081.

Contact Information

Mrs Tara Mabel Brannon Bogs, PHD
400 Bald Hill Rd, Suite 517,
Warwick, RI 02886-1617
(401) 732-1500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Tara Mabel Brannon Bogs
GenderFemale
SpecialityPsychologist - Clinical
Location400 Bald Hill Rd, Warwick, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043385081
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/18/2019

Medical Identifiers

Medical identifiers for Mrs Tara Mabel Brannon Bogs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043385081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY25755 (California)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103TC0700XPsychologist - Clinical PS01420 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Mabel Brannon Bogs is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tara Mabel Brannon Bogs, PHD
1075 Smith St,
Providence, RI 02908-2700

Ph: (401) 369-9224
Mrs Tara Mabel Brannon Bogs, PHD
400 Bald Hill Rd, Suite 517,
Warwick, RI 02886-1617

Ph: (401) 732-1500

Reviews and Comments


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