BOULEVARD PSYCHOLOGY, LLC
NPI 1508085291
Psychologist - Counseling in Overland Park, KS
About Boulevard Psychology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOULEVARD PSYCHOLOGY, LLC (NPI 1508085291) is a healthcare organization registered as a counseling in Overland Park, Kansas and active in the NPI registry since April 2007. The organization lists Wendy Susan Eaves, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boulevard Psychology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Boulevard Psychology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Boulevard Psychology, LLC's NPI number?
The NPI number for Boulevard Psychology, LLC is 1508085291. It was assigned to this organization in the NPPES registry on April 24, 2007.
Where is Boulevard Psychology, LLC located?
Boulevard Psychology, LLC is located at 6240 W 135th St Ste 200, Overland Park, KS 66223. The listed phone number is (913) 499-4302.
What is Boulevard Psychology, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Boulevard Psychology, LLC enrolled in Medicare?
Yes. Boulevard Psychology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boulevard Psychology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Boulevard Psychology, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boulevard Psychology, LLC was last updated on November 29, 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.