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Deactivated NPI 1417130634 Deactivated / Inactive NPI Male Practitioner

Dr. William Bogard , MD

Psychologist • Mattoon, IL

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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. William Bogard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2007
NPI Deactivation Date July 25, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. William Bogard, MD was a registered Psychologist practicing in Mattoon, IL. Throughout an active medical career spanning 11 years, Dr. Bogard provided care at the practice location at 500 HEALTH CENTER DR until profile deactivation on 2018-07-25.

Practice Location & Contact Primary Location

Practice Address

500 Health Center Dr

Mattoon, IL 619389258

Telephone 2172584042
Associated Practice Facility / Clinic
🏢 Urology Associates, S.c. Facility NPI 1427066018

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Mattoon, IL (1075 Statewide)

Telehealth Adoption Rate
0.0% 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

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

11 Associated Practitioners
NPI 1033201801

Licensed Clinical Professional Counselor

Penelope Shields , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033508478

Nurse Practitioner

Veronica Wright , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043637051

Advanced Practice Nurse

Jennifer Sledge , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154984979

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Larry Welsh , LCPC, NCC, CCMHC

Counselor - Professional

NPI 1215659487

Licensed Clinical Professional Counselor, National Certified Counselor, CCMHC

Chelsea Allen-Labaume , MS, LCPC

Counselor - Professional

NPI 1649935222

Master of Science, Licensed Clinical Professional Counselor

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 July 25, 2018

Record deactivated on July 25, 2018

NPI Profile Active December 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2007

Registered at 500 HEALTH CENTER DR, MATTOON, IL 619389258 (Tel: 2172584042)

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Updated Business Mailing Address December 11, 2007

Registered at 500 HEALTH CENTER DR, MATTOON, IL 619389258

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Provider Name / Credentials Updated December 11, 2007

Recorded as WILLIAM BOGARD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2007

Psychologist

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Initial NPI Registration & Enumeration December 11, 2007

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: 1417130634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2007
Last Update: December 11, 2007
Deactivation Date: July 25, 2018

Mailing Address

500 Health Center Dr

Mattoon, IL 619389258

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.