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DR. RONALD HAROLD BOARDWAY PHD
NPI 1881703858
Psychologist - Clinical in Saint Clair Shores, MI

Active since August 30, 2006PECOS Enrolled
19900 E 10 MILE RD STE 102, SAINT CLAIR SHORES, MI 48080(586) 776-3666(586) 776-3369 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ronald Harold Boardway Phd NPPES

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

DR. RONALD HAROLD BOARDWAY PHD (NPI 1881703858) is an individual clinical provider in Saint Clair Shores, Michigan, licensed in Michigan (RB008826) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1881703858
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RONALD HAROLD BOARDWAYCredential: PHD
Location Address19900 E 10 MILE RD STE 102Saint Clair Shores, MI 48080-4412
Mailing Address19900 E 10 Mile Rd Ste 102Saint Clair Shores, MI 48080-4412 · (586) 776-3666 · Fax (586) 776-3369
Phone(586) 776-3666
Fax(586) 776-3369
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1994
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 5, 2019
✔ NPI 1881703858 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 MI · RB008826
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.
19900 E 10 MILE RD STE 102, Saint Clair Shores, MI 48080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ronald Harold Boardway Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971645409
PECOS Enrollment IDI20120614000605
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.

Medicare Billing Reassignment

Medicare enrollment records show Ronald Boardway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Psychologists Plc
Same address
Clinical
19900 10 MILE ROAD, STE 102
St Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1629112420 (586) 776-3366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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

DR. PATRICIA KOESTER DICKSON PHD
Psychologist (Clinical)
19900 E 10 MILE RD STE 102
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-3366
LISA KHOURY M.A., ED.S
Psychologist (Clinical)
19900 E 10 MILE RD STE 102
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-3366
DR. CHERYL M MAZZARA M.D.
Psychiatry & Neurology (Psychiatry)
19900 E 10 MILE RD STE 102
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-3366
ELLA SAMHAT
Psychologist (Clinical)
19900 E 10 MILE RD STE 102
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-3366

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 Ronald Boardway's NPI number?

The NPI number for Ronald Boardway is 1881703858. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Ronald Boardway located?

Ronald Boardway practices at 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, MI 48080. The listed phone number is (586) 776-3666.

What is Ronald Boardway's specialty?

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

Is Ronald Boardway enrolled in Medicare?

Yes. Ronald Boardway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronald Boardway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Boardway reassigns Medicare benefits to Associated Psychologists Plc (St Clair Shores, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Boardway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Boardway accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Ronald Boardway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Boardway was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.