DR. KRISTEN ELIZABETH BOLOMEY (PSY.D.) – Psychologist, NPI 1497788194
Psychologist
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KRISTEN ELIZABETH BOLOMEY (PSY.D.)
6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 334373586
Phone: (561) 509-5009
Fax: (561) 738-0556
Type: Location
13475 Southern Blvd Ste 202
Loxahatchee Groves, FL 334709233
Phone: (561) 509-5009
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-6050
Fax: (239) 343-6051
Type: Mailing
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 341358133
Phone: (239) 343-6050
Fax: (239) 343-6051
Type: Location
12955 PALMS WEST DR STE 100
LOXAHATCHEE, FL 334709212
Phone: (561) 509-5009
Type: Location
201, Palm Beach Lakes Boulevard, West Palm Beach, Palm Beach County, Florida, 33401, United States
WEST PALM BEACH, FL 334093506
Phone: (561) 509-5009
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.
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: 2006-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061206000162 | I | Clinical Psychologist | FL | 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 33437)
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