Ideal Self Therapy LLC
NPI 1386447936ActiveOrganization· Psychologist, Clinical· Rio Rancho, NM
Psychologist, Clinical in Rio Rancho, New Mexico, registered in NPPES in March 2025. The authorized official on file is Leah Bogusch, PHD, Owner.
Overview
| NPI | 1386447936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2025 |
| Last updated in NPPES | Mar 29, 2025 |
| Certified by provider | Mar 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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