BROCK A BOEKHOUT PHD
NPI 1275502148
Psychologist in Pittsburg, KS

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
3011 N MICHIGAN ST, PITTSBURG, KS 66762(620) 231-9873(620) 231-2808 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2022, Nov 13, 2020 (2 updates tracked since 2020).

About Brock A Boekhout Phd NPPES

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

BROCK A BOEKHOUT PHD (NPI 1275502148) is an individual psychologist in Pittsburg, Kansas, licensed in Kansas (1346) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2000).

NPPES Registry Identity

NPI1275502148
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBROCK A BOEKHOUTCredential: PHD
Location Address3011 N MICHIGAN STPittsburg, KS 66762-2546
Mailing AddressPo Box 1832Pittsburg, KS 66762-1832 · (620) 231-9873 · Fax (620) 231-2808
Fax(620) 231-2808
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2000
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
NPI 1275502148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KS · 1346
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.
3011 N MICHIGAN ST, Pittsburg, KS 66762

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

Brock A Boekhout Phd 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 ID1456343680
PECOS Enrollment IDI20070316000380
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.

Nurse Practitioner (Family)
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Dental Hygienist
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Nurse Practitioner (Family)
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Internal Medicine
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Dental Hygienist
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Dentist (Pediatric Dentistry)
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Nurse Practitioner (Family)
3011 N MICHIGAN ST
PITTSBURG, KS 66762
Social Worker (Clinical)
3011 N MICHIGAN ST
PITTSBURG, KS 66762

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 Brock Boekhout's NPI number?

The NPI number for Brock Boekhout is 1275502148. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Brock Boekhout located?

Brock Boekhout practices at 3011 N Michigan St, Pittsburg, KS 66762. The listed phone number is (620) 231-9873.

What is Brock Boekhout's specialty?

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

Is Brock Boekhout enrolled in Medicare?

Yes. Brock Boekhout 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 Brock Boekhout accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Brock Boekhout 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 Brock Boekhout was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.