DR. RENEE L. BOOMGAARDEN PH.D
NPI 1215971056
Psychologist in Dickinson, ND

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601(701) 227-7500(701) 227-7575 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Nov 23, 2020 (2 updates tracked since 2020).

About Dr. Renee L. Boomgaarden Ph.d NPPES

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

DR. RENEE L. BOOMGAARDEN PH.D (NPI 1215971056) is an individual psychologist in Dickinson, North Dakota, licensed in North Dakota (265) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1215971056
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. RENEE L. BOOMGAARDENCredential: PH.D
Location Address1463 I94 BUSINESS LOOP EDickinson, ND 58601-6434
Mailing Address1463 I94 Business Loop EDickinson, ND 58601-6434 · (701) 227-7500 · Fax (701) 227-7575
Fax(701) 227-7575
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 15, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1215971056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ND · 265
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1463 I94 BUSINESS LOOP E, Dickinson, ND 58601

Other Identifiers 3

Medicaid54523ND
Other680008169Rr Medicare
Other14293ND · Bc/bs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Renee L. Boomgaarden Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799814828
PECOS Enrollment IDI20100527000217
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.

Other Providers at the Same Location NPPES 20

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

Technician, Other
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Counselor (Addiction (Substance Use Disorder))
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Social Worker
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Counselor (Professional)
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Registered Nurse
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Clinic/Center (Mental Health (Including Community Mental Health Center))
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601

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 Renee Boomgaarden's NPI number?

The NPI number for Renee Boomgaarden is 1215971056. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Renee Boomgaarden located?

Renee Boomgaarden practices at 1463 I94 Business Loop E, Dickinson, ND 58601. The listed phone number is (701) 227-7500.

What is Renee Boomgaarden's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Renee Boomgaarden enrolled in Medicare?

Yes. Renee Boomgaarden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Renee Boomgaarden accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Renee Boomgaarden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renee Boomgaarden was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.