Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dmitri Bougakov, PHD

Individual provider Clinical Neuropsychologist · NPI 1851414031

Dmitri Bougakov, PHD is a Clinical Neuropsychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

315 W 57th St Ste 401
New York, NY 10019-3158
Phone: (646) 496-8963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 68 017107 (NY)

Record details

NPI number1851414031
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 10, 2007
Last updated in NPPESNovember 25, 2008

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