Active NPIIndividual provider

John R Boekamp, PHD

Psychologist, Clinical in East Providence, Rhode Island

NPI Number1790722627
Practice location
1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
Fax
401-432-1500
Last updated
January 6, 2011

John R Boekamp is a Psychologist, Clinical based in East Providence, RI. John R Boekamp practices in East Providence, RI and has the professional credentials of PHD. The NPI Number for John R Boekamp is 1790722627 and holds a License No. PS00666 (RI). The current practice location address for John R Boekamp is 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 and can be reached out via phone at 401-432-1417 and via fax at 401-432-1500.

Provider Profile Details

NPI Number
1790722627
Provider Name
John R Boekamp
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
Phone Number
401-432-1417
Fax Number
401-432-1500
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2006
Last Update Date
January 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Zip
02915-5061
Phone Number
401-432-1417
Fax Number
401-432-1500
East Providence, RI 02915Get directions →

Provider Business Mailing Address Details

Address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
City
East Providence
State
RI
Zip
02915-5061
Phone Number
401-432-1284
Fax Number
401-432-1509

License Information

License Number
PS00666
License State
RI
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John R Boekamp, PHD?

The NPI number of John R Boekamp, PHD is 1790722627. It was assigned on May 31, 2006 and is currently active in the NPPES registry.

What is the specialty of John R Boekamp, PHD?

John R Boekamp, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS00666.

Where does John R Boekamp, PHD practice?

The practice location is 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061. The office can be reached at 401-432-1417 (phone) or 401-432-1500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790722627 directly on the NPPES registry website.

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