DR. KIMBERLY C DEBOER (PSY. D.) – Psychologist, NPI 1841470465

DR. KIMBERLY C DEBOER (PSY. D.) is a healthcare provider. based in Stroudsburg, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. PC003734 (PA). The NPI Number for DR. KIMBERLY C DEBOER (PSY. D.) is 1841470465

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY C DEBOER (PSY. D.)
NPI
1841470465
Phone
(570) 872-9324
Address
134 BROAD ST
Enumeration Date
12 November 2007
Last Update Date
1 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708729324
Graduation Year
2006 (20 years ago)
PAC ID
2264627082
Professional Enrollment ID
I20101105001077
Address ID
PA183601590ST134XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for DR. KIMBERLY C DEBOER (PSY. D.)

  • 134, Broad Street, Stroudsburg, Monroe County, Pennsylvania, 18360, United States

    SUITE 5

    STROUDSBURG, PA 183601590

    Phone: (570) 872-9324

    Fax: (570) 872-9325

    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: 2010-11-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101105001077IClinical PsychologistPATBD

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 18360)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. KIMBERLY C DEBOER (PSY. D.)?
NPI 1841470465 is assigned to DR. KIMBERLY C DEBOER (PSY. D.) under the national enumeration system.
Is DR. KIMBERLY C DEBOER (PSY. D.) currently active in the NPI registry?
CMS-published data lists DR. KIMBERLY C DEBOER (PSY. D.) as an active registrant.
What kind of provider is DR. KIMBERLY C DEBOER (PSY. D.)?
The page reflects Psychologist for DR. KIMBERLY C DEBOER (PSY. D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KIMBERLY C DEBOER (PSY. D.)?
The snapshot lists Stroudsburg, Pennsylvania for DR. KIMBERLY C DEBOER (PSY. D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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