DR. CATHY A BOFETTA (PSY.D) – Clinical Psychologist, NPI 1437234002

DR. CATHY A BOFETTA (PSY.D) is a healthcare provider. based in Nevada, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. 2004013225 (MO). The NPI Number for DR. CATHY A BOFETTA (PSY.D) is 1437234002

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CATHY A BOFETTA (PSY.D)
NPI
1437234002
Phone
(417) 667-4230
Address
300 W CHERRY ST
Enumeration Date
25 October 2006
Last Update Date
10 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4176840979
Graduation Year
2002 (24 years ago)
PAC ID
9638149586
Professional Enrollment ID
I20040728000696
Address ID
MO647723708NE1819XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for DR. CATHY A BOFETTA (PSY.D)

  • 300, West Cherry Street, Nevada, Vernon County, Missouri, 64772, United States

    NEVADA, MO 647722202

    Phone: (417) 667-4230

    Fax: (417) 667-7607

    Mailing address matches the actual address.

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: 2004-07-28

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
I20040728000696IClinical PsychologistMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64772)

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Reviews

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Frequently asked questions

Does DR. CATHY A BOFETTA (PSY.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CATHY A BOFETTA (PSY.D) uses 1437234002.
Is DR. CATHY A BOFETTA (PSY.D) listed as active for patients and plans?
The listing shows DR. CATHY A BOFETTA (PSY.D) as active in the NPI system.
What is DR. CATHY A BOFETTA (PSY.D) best known for clinically?
Directory data describes DR. CATHY A BOFETTA (PSY.D) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What area does DR. CATHY A BOFETTA (PSY.D) serve?
DR. CATHY A BOFETTA (PSY.D)'s listing highlights Nevada, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.