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DR. JEFFREY THEODORE BOSTON PSY.D.
NPI 1649394156
Psychologist - Clinical in Saint Paul, MN

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
821 RAYMOND AVE, SUITE 150, SAINT PAUL, MN 55114(651) 642-9741 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Theodore Boston Psy.d. NPPES

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

DR. JEFFREY THEODORE BOSTON PSY.D. (NPI 1649394156) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (LP3768) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1649394156
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY THEODORE BOSTONCredential: PSY.D.
Location Address821 RAYMOND AVE, SUITE 150Saint Paul, MN 55114-1503
Mailing Address1821 University Ave W, Ste 155Saint Paul, MN 55104-2880
Phone(651) 642-9741
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1649394156 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 MN · LP3768
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.
821 RAYMOND AVE, Saint Paul, MN 55114
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Other Identifiers 2

Other245L9BOMN · Blue Cross Blue Shield
Medicaid184314100MN

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

Dr. Jeffrey Theodore Boston 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 ID446245468
PECOS Enrollment IDI20040419001143
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 55114 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

MS. SHERIE LOU BOSAK LICSW
Social Worker (Clinical)
821 RAYMOND AVE, #300
SAINT PAUL, MN 55114
Ramsey County (651) 645-0438
MARY BETH WIENS L.P.
Psychologist
821 RAYMOND AVE, SUITE 200
SAINT PAUL, MN 55114
Ramsey County (651) 645-8300
TINA WATSON WIENS MA, LMFT
Marriage & Family Therapist
821 RAYMOND AVE, SUITE 440
SAINT PAUL, MN 55114
Ramsey County (651) 642-9317
META RESOURCES P.A.
Psychologist (Clinical)
821 RAYMOND AVE, SUITE 440
SAINT PAUL, MN 55114
Ramsey County (651) 642-9317
MS. MARIANNE P KELLEY PSYD LP
Psychologist
821 RAYMOND AVE, #200
ST PAUL, MN 55114
Ramsey County (651) 645-8300
NICHOLAS FLIER LLC
Counselor (Professional)
821 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (612) 860-3568
DR. JAMES L HAWKINS PHD
Psychologist
821 RAYMOND AVE, SUITE 200
SAINT PAUL, MN 55114
Ramsey County (612) 526-7361
RANDI KRISTIN BORN M.A., L.M.F.T.
Marriage & Family Therapist
821 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (763) 412-8013

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 Jeffrey Boston's NPI number?

The NPI number for Jeffrey Boston is 1649394156. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Jeffrey Boston located?

Jeffrey Boston practices at 821 Raymond Ave Suite 150, Saint Paul, MN 55114. The listed phone number is (651) 642-9741.

What is Jeffrey Boston's specialty?

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

Is Jeffrey Boston enrolled in Medicare?

Yes. Jeffrey Boston 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 Jeffrey Boston was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.