JORGE BOERO (PHD) – Clinical Psychologist, NPI 1376575720

JORGE BOERO (PHD) is a healthcare provider. based in Franklin, Tennessee. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2521 (TN). The NPI Number for JORGE BOERO (PHD) is 1376575720

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JORGE BOERO (PHD)
NPI
1376575720
Phone
(615) 794-9973
Address
1915 Columbia Ave
Enumeration Date
7 July 2006
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153201155
Graduation Year
2002 (24 years ago)
PAC ID
6305812181
Group Practice PAC ID
5294719795
Professional Enrollment ID
I20040902001048
Address ID
TN372032609NA1720XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

400 CLINICAL PSYCHOLOGIST in TN

Provider Addresses for JORGE BOERO (PHD)

  • 1915 Columbia Ave

    Franklin, TN 370643921

    Phone: (615) 794-9973

    Fax: (615) 794-9961

    Type: Location

  • 220 ATHENS WAY STE 104

    NASHVILLE, TN 372281351

    Phone: (615) 320-1155

    Fax: (615) 320-1177

    Type: Mailing

  • 220 ATHENS WAY STE 320

    NASHVILLE, TN 372281311

    Phone: (615) 320-1155

    Fax: (615) 320-1177

    Type: Location

  • 118, North Church Street, Murfreesboro, Rutherford County, Tennessee, 37130, United States

    MURFREESBORO, TN 371303636

    Phone: (615) 278-2241

    Fax: (615) 904-9182

    Type: Mailing

  • 1915, Columbia Avenue, Franklin, Williamson County, Middle Tennessee, Tennessee, 37064, United States

    FRANKLIN, TN 370643921

    Phone: (615) 794-9973

    Fax: (615) 794-9961

    Type: Location

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: 2004-09-02

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
I20040902001048IClinical PsychologistTNTBD

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 37064)

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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: 5294719795View full group profile
NameSpecialtyState
Nurse PractitionerTN
Clinical PsychologistTN
Mental Health CounselorTN
Mental Health CounselorMA
Nurse PractitionerTN
-TN
P S Y C H I A T R YTN
Clinical Social WorkerFL
Nurse PractitionerTN
Clinical Social WorkerTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for JORGE BOERO (PHD)?
JORGE BOERO (PHD) — NPI 1376575720 — is the standard way to identify this listing.
Can I rely on JORGE BOERO (PHD) being an active provider?
As of the registry snapshot, JORGE BOERO (PHD) is marked active.
What is JORGE BOERO (PHD) best known for clinically?
Directory data describes JORGE BOERO (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for JORGE BOERO (PHD)?
JORGE BOERO (PHD)'s geographic hint is Franklin, Tennessee in our summary view.
Why does JORGE BOERO (PHD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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