Individual provider Active NPI

Sara Bovee, PSYD

  • Forensic Psychologist
  • Duluth, MN
National Provider Identifier
1245750652
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
LP6008 Issued in MN
Practice address
324 W Superior St Ste 620
Duluth, MN 55802-1723
Phone
(218) 606-1797
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X LP6008 MN
Clinical Psychologist 103TC0700X LP6008 MN
Cognitive & Behavioral Psychologist 103TB0200X LP6008 MN
Forensic Psychologist 103TF0200X LP6008 MN Primary

Addresses

Primary practice location

324 W Superior St Ste 620
Duluth, MN 55802-1723

Mailing address

324 W Superior St Ste 620
Duluth, MN 55802-1723
Phone (218) 606-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 23, 2020 through Mar 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP6008MNMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Illume North, LLC Clinical Current Accepting new patients

Locations

306 W Superior St
Ste 601
Duluth, MN 55802
Phone (218) 522-4469

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1245750652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 620",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021723",
            "telephone_number": "218-606-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 620",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021723",
            "telephone_number": "218-606-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVEE",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP6008",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6008",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP6008",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP6008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.