DR. TYLER JUSTIN BOONSTRA PH.D.
NPI 1528549953
Psychologist - Clinical in Albuquerque, NM

Q: What is Tyler Boonstra's NPI number?

The NPI number for Tyler Boonstra is 1528549953. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Q: What is Tyler Boonstra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Boonstra was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 23, 2018PECOS Enrolled

93.54/100

CMS Quality Rating

UNMH, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87106(505) 272-4866 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 14, 2023, Jun 6, 2023, Aug 23, 2018 (3 updates tracked since 2018).

On this page

About Dr. Tyler Justin Boonstra Ph.d. NPPES

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

DR. TYLER JUSTIN BOONSTRA PH.D. (NPI 1528549953) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (PSY1530) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528549953

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TYLER JUSTIN BOONSTRACredential: PH.D.

Location AddressUNMH, 2211 LOMAS BLVD. NEAlbuquerque, NM 87106-4374

Mailing Address933 Bradbury Dr. Se, Suite 2222Albuquerque, NM 87106-4374

Phone(505) 272-4866

Sole ProprietorNo

Enumeration DateAugust 23, 2018

Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1528549953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NM · PSY1530

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.

UNMH, Albuquerque, NM 87106

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Justin Boonstra 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

38 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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

$166.80 typical visit price

range $54.26 – $166.80

Typical copayment $41.70 (range $13.56 – $41.70)

Most-billed visit code 99205

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.21

Promoting Interoperability

100

Improvement Activities

Cost

63.83

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.

JERICA JOHNSON M.D.

Family Medicine

UNMH, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2111

JALEH M AKHAVAN MD

Family Medicine

UNMH, 2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-8045

DR. JOSHUA ERIC RIDER MD

Radiology (Diagnostic Radiology)

UNMH, 2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2700

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 Tyler Boonstra's NPI number?

The NPI number for Tyler Boonstra is 1528549953. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Tyler Boonstra located?

Tyler Boonstra practices at Unmh 2211 Lomas Blvd. NE, Albuquerque, NM 87106. The listed phone number is (505) 272-4866.

What is Tyler Boonstra's specialty?

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

Is Tyler Boonstra enrolled in Medicare?

Yes. Tyler Boonstra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Boonstra was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.