HENRY BOEH (PHD) – Psychologist, NPI 1306230057

HENRY BOEH (PHD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. The NPI Number for HENRY BOEH (PHD) is 1306230057

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
HENRY BOEH (PHD)
NPI
1306230057
Phone
(262) 782-2820
Address
250 N. SUNNYSLOPE ROAD
Enumeration Date
19 March 2015
Last Update Date
6 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4142484726
Graduation Year
2015 (11 years ago)
PAC ID
5294022992
Group Practice PAC ID
2567488323
Professional Enrollment ID
I20160923000847
Address ID
WI530056254BR13400LNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for HENRY BOEH (PHD)

  • 250 N. SUNNYSLOPE ROAD

    SUITE 203

    MILWAUKEE, WI 532133574

    Phone: (262) 782-2820

    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: 2016-09-23

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
I20160923000847IClinical PsychologistWITBD

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
90834Psychotherapy, 45 minutes32013$0
View full utilization report →

Insurance plans in this area (ZIP 53213)

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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: 2567488323View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Clinical PsychologistWI
Clinical PsychologistWA
Clinical PsychologistWI
Clinical PsychologistWI
Clinical PsychologistNC

Reviews

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Frequently asked questions

Can I verify HENRY BOEH (PHD) with an NPI only?
You can start verification with NPI 1306230057 for HENRY BOEH (PHD), then check state licensing separately.
Is HENRY BOEH (PHD) listed as active for patients and plans?
The listing shows HENRY BOEH (PHD) as active in the NPI system.
What is HENRY BOEH (PHD)'s primary classification?
Psychologist is the headline specialty for HENRY BOEH (PHD) here. Clinical services aligned with this taxonomy classification.
What address line appears for HENRY BOEH (PHD)?
HENRY BOEH (PHD)'s geographic hint is Milwaukee, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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