KIMBERLY MARIE BOEKE (PSYD) – Clinical Psychologist, NPI 1467985457
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,434 CLINICAL PSYCHOLOGIST in CA
Provider Addresses for KIMBERLY MARIE BOEKE (PSYD)
15301 Warren Shingle Rd
Beale AFB, CA 959031905
Phone: (530) 634-3420
Type: Location
140 Christiansburg Pike NE
Floyd, VA 240913742
Phone: (540) 745-9290
Fax: (540) 745-9290
Type: Location
180 Ferrum Mountain Rd
Ferrum, VA 240882939
Phone: (540) 365-4469
Fax: (540) 365-4469
Type: Location
6004, Sugarbush Drive, Cedarhurst, Richmond, Richmond City, Virginia, 23225, United States
RICHMOND, VA 232252621
Phone: (815) 236-4941
Type: Mailing
1601, Broad Rock Boulevard, Richmond, Richmond City, Virginia, 23224, United States
RICHMOND, VA 232244923
Phone: (888) 365-6271
Type: Location
15301 WARREN SHINGLE RD
BEALE AFB, CA 959031905
Phone: (530) 634-3420
Type: Mailing
2550 WATERVIEW DR UNIT 152
NORTHBROOK, IL 600626349
Phone: (815) 236-4941
Type: Mailing
141 PARKER ST
MAYNARD, MA 017542178
Phone: (866) 991-2103
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170605002658 | I | Clinical Psychologist | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95903)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | NC | |
| - | VA | |
| Nurse Practitioner | VA | |
| Registered Dietitian Or Nutrition Professional | VA | |
| Nurse Practitioner | VA | |
| - | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.