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

Jaclyn Bogner, PHD

Individual provider Clinical Psychologist · NPI 1083393755

Jaclyn Bogner, PHD is a Clinical Psychologist in Nashville, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023
Specialties on file
2
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

220 Athens Way Ste 320
Nashville, TN 37228-1311
Phone: (615) 320-1155
Fax: (615) 320-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Serenity Ln, Coburg, OR 97408-9350 — (541) 687-1110

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4241 (TN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1083393755
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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