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Deactivated NPI 1689735656 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Bohanske , PhD

Psychologist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Bohanske has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2006
NPI Deactivation Date April 19, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Bohanske, PhD was a registered Psychologist practicing in Phoenix, AZ. Throughout an active medical career spanning 15 years, Dr. Bohanske provided care at the practice location at 1424 S 7TH AVE until profile deactivation on 2021-04-19.

Practice Location & Contact Primary Location

Practice Address

1424 S 7th Ave
Bldg A

Phoenix, AZ 850073902

Telephone 6022571558
Fax 6022585372
Associated Practice Facility / Clinic
🏢 Southwest Behavioral Health Facility NPI 1659380780

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
223 Specialists

Practicing in Phoenix, AZ (788 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AZ 1145

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Michael Sweeney , MD

Psychiatry & Neurology - Psychiatry

NPI 1255410270

Doctor of Medicine (M.D.)

Andrea Kemp , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265812135

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 19, 2021

Record deactivated on April 19, 2021

NPI Profile Active October 02, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 02, 2007

Registered at 1424 S 7TH AVE, BLDG A, PHOENIX, AZ 850073902 (Tel: 6022571558)

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Updated Business Mailing Address October 02, 2007

Registered at 3450 N 3RD ST, PHOENIX, AZ 850122331 (Tel: 6022658338)

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Provider Name / Credentials Updated October 02, 2007

Recorded as ROBERT BOHANSKE, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2007

Psychologist (License #1145 in AZ)

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Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689735656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: October 02, 2007
Deactivation Date: April 19, 2021

Mailing Address

3450 N 3rd St

Phoenix, AZ 850122331

Phone: 6022658338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.