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Bryan Bovitz, PHD
NPI 1689824518 · Clinical Psychologist · Cannon Afb, NM
Bryan Bovitz, PHD is a Clinical Psychologist provider in Cannon Afb, NM (NPI 1689824518).
Provider details
- NPI number
- 1689824518
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00003930 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
208 Casablanca Ave.
27 Sgomh
Cannon Afb, NM 88101-5014
Phone: (575) 784-1108
Fax: (575) 784-4624
Street-level locationGet directions
Mailing address
77 Nealy Ave
Langley Afb, VA 23665-2040
Registry dates
- Enumerated
- 2008-09-29
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Bryan Bovitz's NPI number?
- Bryan Bovitz's National Provider Identifier (NPI) is 1689824518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Bovitz's specialty?
- Bryan Bovitz is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Bryan Bovitz located?
- Bryan Bovitz's practice location on file with NPPES is 208 Casablanca Ave., Cannon Afb, NM 88101-5014.
- What is Bryan Bovitz's phone number?
- The practice phone number listed in the NPPES registry for Bryan Bovitz is (575) 784-1108.
- Is Bryan Bovitz's NPI active?
- Yes — Bryan Bovitz's NPI (1689824518) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.