DR. BRANDIE BOGHOSIAN (PSY.D.) – Clinical Psychologist, NPI 1821401787

DR. BRANDIE BOGHOSIAN (PSY.D.) is a healthcare provider. based in West hills, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 30570 (CA). The NPI Number for DR. BRANDIE BOGHOSIAN (PSY.D.) is 1821401787

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDIE BOGHOSIAN (PSY.D.)
NPI
1821401787
Phone
(818) 624-3062
Address
PO BOX 4973
Enumeration Date
9 June 2014
Last Update Date
1 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8189817845
Graduation Year
2017 (9 years ago)
PAC ID
0941742142
Group Practice PAC ID
7911063201
Professional Enrollment ID
I20241007004037
Address ID
CA913015431AG30200RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,473 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for DR. BRANDIE BOGHOSIAN (PSY.D.)

  • PO BOX 4973

    WEST HILLS, CA 913084973

    Phone: (818) 624-3062

    Type: Mailing

  • 18646 Oxnard St

    Tarzana, CA 913561411

    Phone: (818) 624-3062

    Type: Location

  • 5743 Corsa Ave Ste 112

    Westlake Village, CA 913626441

    Phone: (818) 624-3062

    Type: Location

  • 30200 AGOURA RD STE 190

    AGOURA, CA 91301

    Phone: (818) 624-3062

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241007004037IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911063201View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
-CA
Geriatric PsychiatryCA
Clinical PsychologistCA
Marriage And Family TherapistCA
Clinical PsychologistCA
Marriage And Family TherapistCA
Clinical PsychologistCA
Clinical PsychologistOR

Reviews

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Frequently asked questions

Is there an official ID for DR. BRANDIE BOGHOSIAN (PSY.D.) in U.S. healthcare records?
The official identifier for DR. BRANDIE BOGHOSIAN (PSY.D.) is NPI 1821401787.
Active or inactive — what applies to DR. BRANDIE BOGHOSIAN (PSY.D.)?
You should see DR. BRANDIE BOGHOSIAN (PSY.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. BRANDIE BOGHOSIAN (PSY.D.)?
DR. BRANDIE BOGHOSIAN (PSY.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRANDIE BOGHOSIAN (PSY.D.)?
Directory geography for DR. BRANDIE BOGHOSIAN (PSY.D.) centers on West Hills, California.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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