JAMES M BOVAN (PSY.D) – Clinical Psychologist, NPI 1063571727
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
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Provider Addresses for JAMES M BOVAN (PSY.D)
8400, Louisiana Street, Merrillville, Lake County, Indiana, 46410, United States
MERRILLVILLE, IN 464106385
Phone: (219) 757-1924
Fax: (219) 757-1950
Type: Location
1348, South Lake Park Avenue, Hobart, Hobart Township, Lake County, Indiana, 46342, United States
HOBART, IN 463425964
Phone: (219) 942-4040
Fax: (219) 736-9131
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.
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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: 2019-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070511000438 | I | Clinical Psychologist | IN | TBD |
| I20190501002250 | I | Clinical Psychologist | IL | 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 46410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | SC | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CO | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | NC | |
| Clinical Social Worker | IL |
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