DR. LOLA C. BOGYO (PH.D.) – Clinical Neuropsychologist, NPI 1689891384

DR. LOLA C. BOGYO (PH.D.) is a healthcare provider. based in Bangor, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS1251 (ME). The NPI Number for DR. LOLA C. BOGYO (PH.D.) is 1689891384

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. LOLA C. BOGYO (PH.D.)
NPI
1689891384
Phone
(207) 990-2580
Address
277 STATE ST
Enumeration Date
20 April 2007
Last Update Date
21 November 2016

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
2079902580
Graduation Year
1979 (47 years ago)
PAC ID
8022103845
Group Practice PAC ID
6608896709
Professional Enrollment ID
I20090804000500
Address ID
ME044015440BA277XXSTXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

Provider Addresses for DR. LOLA C. BOGYO (PH.D.)

  • 277 STATE ST

    SUITE 2A

    BANGOR, ME 044015439

    Phone: (207) 990-2580

    Fax: (207) 990-1930

    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: 2009-08-04

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
I20090804000500IClinical PsychologistMETBD

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 04401)

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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: 6608896709View full group profile
NameSpecialtyState
Clinical PsychologistME

Reviews

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Frequently asked questions

Can I verify DR. LOLA C. BOGYO (PH.D.) with an NPI only?
You can start verification with NPI 1689891384 for DR. LOLA C. BOGYO (PH.D.), then check state licensing separately.
Does CMS list DR. LOLA C. BOGYO (PH.D.) as active?
Yes — DR. LOLA C. BOGYO (PH.D.) is active in the NPI listing used on this page.
What healthcare role does DR. LOLA C. BOGYO (PH.D.) hold?
Scheduling teams often label DR. LOLA C. BOGYO (PH.D.) under Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Does DR. LOLA C. BOGYO (PH.D.) list a practice location?
Patients near Bangor, Maine may find DR. LOLA C. BOGYO (PH.D.) in results; validate coverage separately.
Why does DR. LOLA C. BOGYO (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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