DR. SARA MARLENE BOGHOSIAN PHD
NPI 1760867519
Psychologist - Clinical in Logan, UT

NPI Status: Active since July 22, 2015

Contact Information

246 E 1260 N
LOGAN, UT
ZIP 84341
Phone: (435) 750-6300

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About SARA BOGHOSIAN

This page provides the complete NPI Profile along with additional information for Sara Boghosian, a provider established in Logan, Utah with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1760867519 assigned on July 2015. The practitioner's primary taxonomy code is 103TC0700X with license number 7980185-2501 (UT). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1760867519
Provider Name
DR. SARA MARLENE BOGHOSIAN PHD
Gender
Female
Entity Type
Individual
Location Address
246 E 1260 N LOGAN, UT 84341
Location Phone
(435) 750-6300
Mailing Address
205 W 500 N LOGAN, UT 84321
Mailing Phone
(435) 720-2975
Is Sole Proprietor?
Yes
Enumeration Date
07-22-2015
Last Update Date
07-22-2015
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A clinical psychologist like Sara Boghosian assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sara Boghosian opted out of Medicare effective on 11-20-2018 until 11-20-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
7980185-2501
License State
UT
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

7980185-2501 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 1500 - EPO
  • Regence Standard Silver 5000 - EPO
  • Silver 5000 - EPO
  • Silver 6200 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sara Boghosian is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-20-2018

  • Opt-Out End Date: 11-20-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84341 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $166.03
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $41.5
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.5

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.35
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $24.08
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. SARA MARLENE BOGHOSIAN PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760867519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201661452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 6 + 1 + 4 + 5 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1760867519 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831102052 BRUCE R. JOHNS PHD
Individual
Psychologist (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1497812143 DEREK MORGAN EUBANKS SLP
Individual
Speech-Language Pathologist246 E 1260 N
LOGAN, UT 84341
(435) 755-8300
1013040617DR. MONIQUE R FRAZIER PHD
Individual
Psychologist (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1336273481DR. DAVID E CHRISTIAN PHD
Individual
Psychologist (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1164748729DR. KYLE MAX HANCOCK PHD
Individual
Psychologist246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1598067480KYLE MAX HANCOCK, PHD, PC
Organization
Community/Behavioral Health246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1417038530DR. KENNETH GEORGE WEIGAND PSY D
Individual
Psychologist246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1063655249MR. JEREMY CLAYTON HILTON I LCSW
Individual
Social Worker (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1073059580MONIQUE FRAZIER, PH.D., P.C.
Organization
Psychologist (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1477018554 BRADFORD STOKES LVRC, CMHC
Individual
Counselor (Mental Health)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1851301246 CHAD B SPETH FNP
Individual
246 E 1260 N
LOGAN, UT 84341
(435) 363-2000
1275152910MOUNT LOGAN CLINIC LLC
Organization
Counselor (Mental Health)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1588368948C & J MEDICAL LLC
Organization
Nurse Practitioner (Family)246 E 1260 N
LOGAN, UT 84341
(435) 363-2000
1841656162MRS. KENDAL PRITCHARD CMHC
Individual
Counselor (Mental Health)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1245019272 AUBREY JOHNSON PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1629674478 ALISON BALLSTAEDT
Individual
Social Worker (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1407544372 NICOLE BROWN LCSW
Individual
Social Worker (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300
1932711397MRS. RILEE DIANE PERRETT LCSW
Individual
Social Worker (Clinical)246 E 1260 N
LOGAN, UT 84341
(435) 750-6300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760867519, enumerated in the NPI registry as an "individual" on July 22, 2015

The provider is located at 246 E 1260 N Logan, Ut 84341 and the phone number is (435) 750-6300

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $166.03 with an average copayment of $41.5 for new patient appointments. Established patients should expect a typical charge of $96.35 and an average copayment of 24.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on November 20, 2018 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 20, 2026.

This NPI record was last updated on July 22, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.