WALTER O BOCKTING PHD
NPI 1104901172
Psychologist - Clinical in Minneapolis, MN

Active since October 26, 2006PECOS Enrolled
1300 S 2ND ST, SUITE 180, MINNEAPOLIS, MN 55454(612) 625-1500 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walter O Bockting Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER O BOCKTING PHD (NPI 1104901172) is an individual clinical provider in Minneapolis, Minnesota, licensed in New York (020658) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104901172
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameWALTER O BOCKTINGCredential: PHD
Location Address1300 S 2ND ST, SUITE 180Minneapolis, MN 55454-1075
Mailing Address3989 Central Ave Ne, Suite 300Columbia Heights, MN 55421-3900 · (612) 625-1500
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1104901172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NY · 020658 Licensed in MN · LP2505
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License LP2505 (MN)
1300 S 2ND ST, Minneapolis, MN 55454

Other Identifiers 6

Medicaid048313300MN
Other1007664MN · Preferredone
Other602T9BOMN · Blue Cross Blue Shield
Other61-81256MN · Medica - Choice
Other102450MN · Ucare
OtherHP50070MN · Healthpartners

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Walter O Bockting Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1300 S 2ND ST, #180
MINNEAPOLIS, MN 55454
Psychologist
1300 S 2ND ST, STE 180
MINNEAPOLIS, MN 55454
Psychologist (Clinical)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Psychologist (Counseling)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
General Acute Care Hospital
1300 S 2ND ST, SUITE 300
MINNEAPOLIS, MN 55454
Psychologist (Health)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Counselor (Mental Health)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Psychologist (Clinical)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Bockting's NPI number?

The NPI number for Walter Bockting is 1104901172. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Walter Bockting located?

Walter Bockting practices at 1300 S 2nd St Suite 180, Minneapolis, MN 55454. The listed phone number is (612) 625-1500.

What is Walter Bockting's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Walter Bockting enrolled in Medicare?

Yes. Walter Bockting is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Bockting was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.