DR. NANCY CLAIRE BOLOGNA PHD, MS, LP
NPI 1790089878
Psychologist - Clinical in Eden Prairie, MN
NPI Status: Active since January 04, 2011
Contact Information
7525 MITCHELL RD
SUITE 200
EDEN PRAIRIE, MN
ZIP 55344
Phone: (612) 360-8305
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About NANCY BOLOGNA
This page provides the complete NPI Profile along with additional information for Nancy Bologna, a provider established in Eden Prairie, Minnesota with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790089878 assigned on January 2011. The practitioner's primary taxonomy code is 103TC0700X with license number LP1470 (MN). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1790089878
- Provider Name
- DR. NANCY CLAIRE BOLOGNA PHD, MS, LP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7525 MITCHELL RD SUITE 200 EDEN PRAIRIE, MN 55344
- Location Phone
- (612) 360-8305
- Mailing Address
- 7525 MITCHELL RD SUITE 200 EDEN PRAIRIE, MN 55344
- Mailing Phone
- (612) 360-8305
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-04-2011
- Last Update Date
- 01-04-2011
- Code Navigator
A clinical psychologist like Nancy Bologna 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. Nancy Bologna opted out of Medicare effective on 02-14-2022 until 02-14-2026. 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 and cannot 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.
- LP1470
- License State
- MN
- 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.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-14-2022
Opt-Out End Date: 02-14-2026
Eligible to Order and Refer? No
Reviews for DR. NANCY CLAIRE BOLOGNA PHD, MS, LP
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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. | |||||||||
| 1 | 7 | 9 | 0 | 0 | 8 | 9 | 8 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 0 | 8 | 18 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 0 + 8 + 1 + 8 + 8 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1790089878 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962599761 | LESLI N. KRAMER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 7525 MITCHELL RD SUITE 200 EDEN PRAIRIE, MN 55344 (952) 746-5758 |
| 1942375464 | MICHELLE SCHUBERT HUNT-GRAHAM L.A.M.F.T. Individual | Marriage & Family Therapist | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1639237852 | SHANNA LEE FRENZEN M.A. Individual | Marriage & Family Therapist | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1780742742 | JEFFREY PAUL SCHEWE M.A. Individual | Marriage & Family Therapist | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1376794552 | JOHN MAYO ANDERSON Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1972754158 | AMY KATHERINE RATZLAFF Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1407097363 | CYNTHIA LOU DOMS Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1780988360 | JARED MICHAEL HIBMA MA Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1306145933 | JUDITH MARIE HAFNER B.A. Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1831440148 | TIMOTHY JAMES USSET M.DIV. Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1053395863 | DR. BRENT ALEXANDER KVAM D.C., Individual | Chiropractor | 7525 MITCHELL RD SUITE 300 EDEN PRAIRIE, MN 55344 (952) 974-2091 |
| 1952745192 | JENNAH MARIE ZINNECKER BA Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1598106619 | COURTNEY JO HILLESHIEM Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1689091423 | MATTHEW VANBENSCHOTEN Individual | Counselor (Mental Health) | 7525 MITCHELL RD EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1548687379 | SUKAY POLLEY Individual | Counselor (Mental Health) | 7525 MITCHELL RD SUITE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1013323468 | AARON LEANDER GRIER Individual | Counselor (Mental Health) | 7525 MITCHELL RD EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1689060634 | GUSTAF POLLOCK Individual | Counselor (Mental Health) | 7525 MITCHELL RD STE 100 EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1154708501 | DAWN CHADY Individual | Counselor (Mental Health) | 7525 MITCHELL RD EDEN PRAIRIE, MN 55344 (952) 224-2282 |
| 1962801761 | ERICA FALCONER, MS LMFT PLLC Organization | Marriage & Family Therapist | 7525 MITCHELL RD SUITE 310 EDEN PRAIRIE, MN 55344 (612) 524-9509 |
| 1558734202 | LINDA CHARNLEY Individual | Massage Therapist | 7525 MITCHELL RD SUITE 300 EDEN PRAIRIE, MN 55344 (612) 747-5169 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790089878, enumerated in the NPI registry as an "individual" on January 04, 2011
The provider is located at 7525 Mitchell Rd Suite 200 Eden Prairie, Mn 55344 and the phone number is (612) 360-8305
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
No, the provider signed an affidavit on February 14, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 14, 2026.
This NPI record was last updated on January 04, 2011. 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.