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KIMBERLY MARIE BOEKE PSYD
NPI 1467985457
Psychologist - Clinical in Maynard, MA

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
141 PARKER ST, MAYNARD, MA 01754(866) 991-2103 Get Directions Write a Review

NPPES record last updated: October 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2025, Jul 17, 2023, Jan 27, 2023 and 2 more (5 updates tracked since 2020).

About Kimberly Marie Boeke Psyd NPPES

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

KIMBERLY MARIE BOEKE PSYD (NPI 1467985457) is an individual clinical provider in Maynard, Massachusetts, licensed in Virginia (0810005673) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467985457
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIMBERLY MARIE BOEKECredential: PSYD
Location Address141 PARKER STMaynard, MA 01754-2178
Mailing Address2550 Waterview Dr Unit 152Northbrook, IL 60062-6349 · (815) 236-4941
Phone(866) 991-2103
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2017
Last NPPES UpdateOctober 11, 20255 updates tracked since enumeration
NPPES CertifiedOctober 11, 2025
✔ NPI 1467985457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810005673
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 0810005673 (VA)
141 PARKER ST, Maynard, MA 01754
Open in Google Maps ↗

Secondary Practice Locations 3

Location 115301 Warren Shingle RdBeale AFB, CA 95903-1905 · Phone (530) 634-3420
Location 2180 Ferrum Mountain RdFerrum, VA 24088-2939 · Phone (540) 365-4469 · Fax (540) 365-4469
Location 3140 Christiansburg Pike NEFloyd, VA 24091-3742 · Phone (540) 745-9290 · Fax (540) 745-9290

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

Kimberly Marie Boeke Psyd 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 ID6901173491
PECOS Enrollment IDI20170605002658
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

SHARON SOLEBO DAVIS
Nurse Practitioner (Psychiatric/Mental Health)
141 PARKER ST
MAYNARD, MA 01754
Middlesex County (866) 991-2103
MR. KERRY POTTS LMHC
Counselor (Mental Health)
141 PARKER ST
MAYNARD, MA 01754
Middlesex County (866) 991-2103
JACQUELINE SILVA
Counselor (Mental Health)
141 PARKER ST
MAYNARD, MA 01754
Middlesex County (866) 991-2103

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 Kimberly Boeke's NPI number?

The NPI number for Kimberly Boeke is 1467985457. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Kimberly Boeke located?

Kimberly Boeke practices at 141 Parker St, Maynard, MA 01754. The listed phone number is (866) 991-2103.

What is Kimberly Boeke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kimberly Boeke enrolled in Medicare?

Yes. Kimberly Boeke 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.

When was this NPI record last updated?

The NPPES record for Kimberly Boeke was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.