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: July 19, 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.

Psychologist
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Case Manager/Care Coordinator
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Social Worker (Clinical)
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601
Peer Specialist
1463 I94 BUSINESS LOOP E
DICKINSON, ND 58601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215971056, enumerated as an "individual" on June 15, 2006.

The provider is located at 1463 I94 BUSINESS LOOP E DICKINSON, ND 58601 and the phone number is (701) 227-7500.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Sanford. Please consult your insurance carrier or call the provider to verify.