Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mikhail Bogomaz, PSYD

Individual provider Psychologist · NPI 1730513276

Dr. Mikhail Bogomaz, PSYD is a Psychologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

6950 Philips Hwy Ste 11
Jacksonville, FL 32216-6074
Phone: (904) 239-3677
Fax: (904) 866-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY 8825 (FL)

Record details

NPI number1730513276
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 31, 2013
Last updated in NPPESSeptember 20, 2013

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