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Sara Marlene Boghosian, PHD

NPI 1760867519ActiveIndividual· Psychologist, Clinical· Logan, UT

Opted out of Medicare from November 2018 to November 2026. Psychologist, Clinical (PHD) in Logan, Utah, licensed in UT, with an NPI issued in July 2015.

Overview

NPI1760867519
StatusActive
Entity typeIndividual
CredentialPHD
Sole proprietorYes
NPI issuedJul 22, 2015
Last updated in NPPESJul 22, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X7980185-2501UT
Psychologist, Clinical Child & Adolescent103TC2200X7980185-2501UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Nov 20, 2018 – Nov 20, 2026
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Other clinical psychologists in Logan

All 20 clinical psychologists in Logan · All clinical psychologists in Utah