JOHN R BOEKAMP PHD
NPI 1790722627
Psychologist - Clinical in East Providence, RI

Q: What is John Boekamp's NPI number?

The NPI number for John Boekamp is 1790722627. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is John Boekamp'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 John Boekamp was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2006

1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915(401) 432-1417(401) 432-1500 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John R Boekamp Phd NPPES

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

JOHN R BOEKAMP PHD (NPI 1790722627) is an individual clinical provider in East Providence, Rhode Island, licensed in Rhode Island (PS00666) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1790722627

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOHN R BOEKAMPCredential: PHD

Location Address1011 VETERANS MEMORIAL PKWYEast Providence, RI 02915-5061

Mailing Address1011 Veterans Memorial PkwyEast Providence, RI 02915-5061 · (401) 432-1284 · Fax (401) 432-1509

Phone(401) 432-1417

Fax(401) 432-1500

Sole ProprietorNo

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 6, 2011

✔ NPI 1790722627 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 RI · PS00666

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.

1011 VETERANS MEMORIAL PKWY, East Providence, RI 02915

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Other Identifiers 4

MedicaidJB29480RI

Other61-77966RI · United Behavioral Health

Other30160-4RI · Blue Cross

Other407017RI · Blue Chip

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.

NOHA SADEK MD

Psychiatry & Neurology (Psychiatry)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

GEANINA OANA COSTEA M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)