DR. CHARLES HENRY HOGAN (PSY.D.) – Health Service Psychologist, NPI 1720091184

DR. CHARLES HENRY HOGAN (PSY.D.) is a healthcare provider. based in Needham, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 4965 (MA). The NPI Number for DR. CHARLES HENRY HOGAN (PSY.D.) is 1720091184

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES HENRY HOGAN (PSY.D.)
NPI
1720091184
Phone
(781) 449-4073
Address
20 CHESTNUT ST
Enumeration Date
15 August 2006
Last Update Date
16 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816903824
Graduation Year
1989 (37 years ago)
PAC ID
2163686981
Professional Enrollment ID
I20120607000229
Address ID
MA024922539NE20XXXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. CHARLES HENRY HOGAN (PSY.D.)

  • 20, Chestnut Street, Needham Junction, Needham, Norfolk County, Massachusetts, 02492, United States

    SUITE 7

    NEEDHAM, MA 024922576

    Phone: (781) 449-4073

    Fax: (781) 453-8824

    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: 2012-06-07

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
I20120607000229IClinical PsychologistMATBD

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

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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 02492)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES HENRY HOGAN (PSY.D.)?
NPI 1720091184 is assigned to DR. CHARLES HENRY HOGAN (PSY.D.) under the national enumeration system.
Is DR. CHARLES HENRY HOGAN (PSY.D.) active in the national directory?
DR. CHARLES HENRY HOGAN (PSY.D.)'s public NPI profile is in an active state.
What kind of provider is DR. CHARLES HENRY HOGAN (PSY.D.)?
The page reflects Health Service Psychologist for DR. CHARLES HENRY HOGAN (PSY.D.). Clinical services aligned with this taxonomy classification.
Does DR. CHARLES HENRY HOGAN (PSY.D.) practice in Massachusetts?
You will see Needham, Massachusetts on file for DR. CHARLES HENRY HOGAN (PSY.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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