Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS A DEBOER PSY.D
NPI 1316583909
Psychologist in Anoka, MN

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Nov 19, 2019 (2 updates tracked since 2019).

About Thomas A Deboer Psy.d NPPES

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

THOMAS A DEBOER PSY.D (NPI 1316583909) is an individual psychologist in Anoka, Minnesota, licensed in Minnesota (LP6853) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316583909
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTHOMAS A DEBOERCredential: PSY.D
Location Address3301 7TH AVEAnoka, MN 55303-4516
Mailing Address3301 7th AveAnoka, MN 55303-4516 · (651) 417-1605
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 19, 2019
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1316583909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in MN · LP6853✔ Licensed in WI · 3612-57
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.
3301 7TH AVE, Anoka, MN 55303

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas A Deboer Psy.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 ID2860913746
PECOS Enrollment IDI20250307001558
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

3

Medicare enrollment records show Thomas Deboer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
3301 7TH AVE
Anoka, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
  • 36 clinicians in this Medicare group
Integrative Medicine
10811 BARN WOOD LN
Potomac, MD 20854
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
Group Psychotherapy
110 FRONT ST STE 300
Jupiter, FL 33477
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 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.

Social Worker (Clinical)
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Psychiatric/Mental Health)
3301 7TH AVE
ANOKA, MN 55303
Psychologist (Clinical)
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Clinical Neuropsychologist
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303

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 Thomas Deboer's NPI number?

The NPI number for Thomas Deboer is 1316583909. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Thomas Deboer located?

Thomas Deboer practices at 3301 7th Ave, Anoka, MN 55303. The listed phone number is (651) 417-1605.

What is Thomas Deboer's specialty?

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

Is Thomas Deboer enrolled in Medicare?

Yes. Thomas Deboer 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.

Which organizations bill Medicare for Thomas Deboer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Deboer reassigns Medicare benefits to 3 organizations: Anoka Metro Regional Treatment Center (Anoka, MN), Total Life Fl PA (Potomac, MD) and Total Life Inc. (Jupiter, FL). 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 Thomas Deboer'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 Thomas Deboer was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.