ANDERS HOGSTROM (PH.D.) – Clinical Neuropsychologist, NPI 1043901325

ANDERS HOGSTROM (PH.D.) is a healthcare provider. based in Norwich, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 4444 (CT). The NPI Number for ANDERS HOGSTROM (PH.D.) is 1043901325

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ANDERS HOGSTROM (PH.D.)
NPI
1043901325
Phone
(860) 889-7274
Address
150 OTROBANDO AVE
Enumeration Date
17 May 2023
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8608897274
Graduation Year
2021 (5 years ago)
PAC ID
6305203654
Group Practice PAC ID
9638494446
Professional Enrollment ID
I20230601001903
Address ID
CT063602116NO150XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

Provider Addresses for ANDERS HOGSTROM (PH.D.)

  • 150 OTROBANDO AVE

    NORWICH, CT 063602116

    Phone: (860) 889-7274

    Fax: (860) 889-2131

    Mailing address matches the actual address.

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: 2023-06-01

PECOS data refreshed: 2026-05-27

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
I20230601001903IClinical PsychologistCTTBD

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 06360)

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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: 9638494446View full group profile
NameSpecialtyState
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistMI
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistMA
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT

Reviews

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Frequently asked questions

Does ANDERS HOGSTROM (PH.D.) have a public NPI I can cite?
Public records show ANDERS HOGSTROM (PH.D.) under NPI 1043901325.
Is ANDERS HOGSTROM (PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists ANDERS HOGSTROM (PH.D.) as active.
Which specialty label fits ANDERS HOGSTROM (PH.D.)?
NPPES ties ANDERS HOGSTROM (PH.D.) to Clinical Neuropsychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ANDERS HOGSTROM (PH.D.) tied to Norwich, Connecticut?
If you are local to Norwich, Connecticut, ANDERS HOGSTROM (PH.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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