DR. MICHELE JANINE BOBERG (PH.D.) – Clinical Psychologist, NPI 1053499749

DR. MICHELE JANINE BOBERG (PH.D.) is a healthcare provider. based in Muncie, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 20041822A (IN). The NPI Number for DR. MICHELE JANINE BOBERG (PH.D.) is 1053499749

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELE JANINE BOBERG (PH.D.)
NPI
1053499749
Phone
(765) 288-1110
Address
4607 N WHEELING AVE
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7652881110
Graduation Year
2001 (25 years ago)
PAC ID
1052505641
Group Practice PAC ID
2062466063
Professional Enrollment ID
I20101027001118
Address ID
IN473033866MU708XXBLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for DR. MICHELE JANINE BOBERG (PH.D.)

  • North Wheeling Avenue, Muncie, Delaware County, Indiana, 47304, United States

    MUNCIE, IN 473041220

    Phone: (765) 288-1110

    Fax: (765) 288-4044

    Type: Location

  • 715, North Bittersweet Lane, Muncie, Delaware County, Indiana, 47304, United States

    MUNCIE, IN 473043754

    Phone: (765) 286-8788

    Fax: (765) 288-4044

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2010-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101027001118IClinical PsychologistINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour57934$0
90834Psychotherapy, 45 minutes4918$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 47304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062466063View full group profile
NameSpecialtyState
-IN
Mental Health CounselorIN

Reviews

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Frequently asked questions

How is DR. MICHELE JANINE BOBERG (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHELE JANINE BOBERG (PH.D.) with NPI 1053499749.
Is DR. MICHELE JANINE BOBERG (PH.D.) listed as active for patients and plans?
The listing shows DR. MICHELE JANINE BOBERG (PH.D.) as active in the NPI system.
What is DR. MICHELE JANINE BOBERG (PH.D.) best known for clinically?
Directory data describes DR. MICHELE JANINE BOBERG (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. MICHELE JANINE BOBERG (PH.D.) based?
DR. MICHELE JANINE BOBERG (PH.D.) is tied to Muncie, Indiana in the data we show; additional addresses may exist on the full record.
Why does DR. MICHELE JANINE BOBERG (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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