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

Active since June 15, 2006PECOS Enrolled
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: November 01, 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.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renee L. Boomgaarden Ph.d 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Renee Boomgaarden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1463 I94 BUSINESS LOOP E
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Badlands Human Service Center
  • 79 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1237 W DIVIDE AVE, STE 5
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: West Central Human Service Center
  • 89 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Marriage & Family Therapist
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
Registered Nurse
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 enrollment system.

Which organizations bill Medicare for Renee Boomgaarden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Boomgaarden reassigns Medicare benefits to 2 organizations: Badlands Behavioral Health Clinic (Dickinson, ND) and West Central Behavioral Health Clinic (Bismarck, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Boomgaarden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.