MARY R. BOEHLKE PSY.D. P.C.
NPI 1801094982
Psychologist in St Louis Park, MN

Active since July 10, 2007
1660 HIGHWAY 100 S, STE. 568, ST LOUIS PARK, MN 55416(952) 545-6800 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary R. Boehlke Psy.d. P.c. NPPES

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

MARY R. BOEHLKE PSY.D. P.C. (NPI 1801094982) is a healthcare organization registered as a psychologist in St Louis Park, Minnesota and active in the NPI registry since July 2007. The organization lists Mary Boehlke, President, as its authorized official.

NPPES Registry Identity

NPI1801094982
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMARY R. BOEHLKE PSY.D. P.C.
Location Address1660 HIGHWAY 100 S, STE. 568St Louis Park, MN 55416-1529
Mailing Address17935 2nd Ave NPlymouth, MN 55447-3486 · (763) 476-4924
Organization SubpartNo
Authorized OfficialMary BoehlkePresident · (952) 545-6800
Enumeration DateJuly 10, 2007
NPI 1801094982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · MN LP0708
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1660 HIGHWAY 100 S, St Louis Park, MN 55416

Other Identifiers 1

Other1G182BOMN · Blue Cross Of Mn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Psychologist (Clinical)
1660 HIGHWAY 100 S, SUITE 250
ST LOUIS PARK, MN 55416
Counselor
1660 HIGHWAY 100 S, SUITE 430
MINNEAPOLIS, MN 55416
Counselor
1660 HIGHWAY 100 S, PARKDALE PALZA #430
MINNEAPOLIS, MN 55416
Chiropractor
1660 HIGHWAY 100 S, STE.146
ST LOUIS PARK, MN 55416
Community/Behavioral Health
1660 HIGHWAY 100 S, SUITE 502
ST LOUIS PARK, MN 55416
Dentist
1660 HIGHWAY 100 S, SUITE 122
MINNEAPOLIS, MN 55416
Dietitian, Registered
1660 HIGHWAY 100 S, SUITE 250
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
1660 HIGHWAY 100 S, SUITE 330
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 R. Boehlke Psy.D. P.C.'s NPI number?

The NPI number for Mary R. Boehlke Psy.D. P.C. is 1801094982. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Mary R. Boehlke Psy.D. P.C. located?

Mary R. Boehlke Psy.D. P.C. is located at 1660 Highway 100 S Ste. 568, St Louis Park, MN 55416. The listed phone number is (952) 545-6800.

What is Mary R. Boehlke Psy.D. P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary R. Boehlke Psy.D. P.C. 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.