DR. MARY RUTH BOEHLKE PSY.D.
NPI 1609855956
Psychologist in Minneapolis, MN
About Dr. Mary Ruth Boehlke Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY RUTH BOEHLKE PSY.D. (NPI 1609855956) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (MN LP0708) and active in the NPI registry since January 2006. She has opted out of Medicare through November 17, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mary Ruth Boehlke Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 17, 2014 through November 17, 2026.
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.
ST LOUIS PARK, MN 55416
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 Mary Boehlke's NPI number?
The NPI number for Mary Boehlke is 1609855956. It was assigned to this individual provider in the NPPES registry on January 14, 2006.
Where is Mary Boehlke located?
Mary Boehlke practices at 1660 Highway 100 S Ste. 568, Minneapolis, MN 55416. The listed phone number is (952) 545-6800.
What is Mary Boehlke's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mary Boehlke enrolled in Medicare?
No. Mary Boehlke has opted out of Medicare through November 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mary Boehlke was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.