BENJAMIN DE BOER PSYD LLC
NPI 1992540876
Psychologist - Clinical in Fitchburg, WI

Q: What is Benjamin De Boer Psyd LLC's NPI number?

The NPI number for Benjamin De Boer Psyd LLC is 1992540876. It was assigned to this organization in the NPPES registry on July 1, 2024.

Q: What is Benjamin De Boer Psyd LLC's specialty?

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

Active since July 01, 2024

2916 MARKETPLACE DR., SUITE 206 & 207, FITCHBURG, WI 53719(608) 886-9697 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2026, Jan 6, 2026, Jul 1, 2024 (3 updates tracked since 2024).

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About Benjamin De Boer Psyd Llc NPPES

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

BENJAMIN DE BOER PSYD LLC (NPI 1992540876) is a healthcare organization registered as a clinical in Fitchburg, Wisconsin and active in the NPI registry since July 2024. The organization lists Benjamin I De Boer, Owner, as its authorized official.

NPPES Registry Identity

NPI1992540876

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBENJAMIN DE BOER PSYD LLC

Location Address2916 MARKETPLACE DR., SUITE 206 & 207Fitchburg, WI 53719

Mailing Address2800 E Enterprise Ave Ste 333Appleton, WI 54913-7889

Phone(608) 886-9697

Organization SubpartNo

Authorized OfficialBenjamin I De BoerOwner · (608) 886-9697

Enumeration DateJuly 1, 2024

Last NPPES UpdateJanuary 18, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2026

✔ NPI 1992540876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

2916 MARKETPLACE DR., Fitchburg, WI 53719

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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 Benjamin De Boer Psyd LLC's NPI number?

The NPI number for Benjamin De Boer Psyd LLC is 1992540876. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Benjamin De Boer Psyd LLC located?

Benjamin De Boer Psyd LLC is located at 2916 Marketplace Dr. Suite 206 & 207, Fitchburg, WI 53719. The listed phone number is (608) 886-9697.

What is Benjamin De Boer Psyd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Benjamin De Boer Psyd LLC was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.