DR. BENJAMIN I DE BOER PSYD
NPI 1659057446
Psychologist - Clinical in Fitchburg, WI

Active since June 26, 2023
2916 MARKETPLACE DR STE 206&207, FITCHBURG, WI 53719(401) 864-6246 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 18, 2026, Jan 5, 2026, Dec 18, 2025 (3 updates tracked since 2025).

About Dr. Benjamin I De Boer Psyd NPPES

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

DR. BENJAMIN I DE BOER PSYD (NPI 1659057446) is an individual clinical provider in Fitchburg, Wisconsin, licensed in Wisconsin (3452-57) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1659057446
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BENJAMIN I DE BOERCredential: PSYD
Location Address2916 MARKETPLACE DR STE 206&207Fitchburg, WI 53719-5325
Mailing Address2916 Marketplace Dr Ste 206&207Fitchburg, WI 53719-5325 · (401) 864-6246
Sole ProprietorYes
Enumeration DateJune 26, 2023
Last NPPES UpdateJanuary 18, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2026
NPI 1659057446 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 WI · 3452-57
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 ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
2916 MARKETPLACE DR STE 206&207, Fitchburg, WI 53719

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659057446, enumerated as an "individual" on June 26, 2023.

The provider is located at 2916 MARKETPLACE DR STE 206&207 FITCHBURG, WI 53719 and the phone number is (401) 864-6246.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.