Individual provider Active NPI

Henry Boeh, PHD

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1306230057
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
250 N. Sunnyslope Road
Suite 203
Milwaukee, WI 53213-3574
Phone
(262) 782-2820
NPI assigned
Mar 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

250 N. Sunnyslope Road
Suite 203
Milwaukee, WI 53213-3574

Mailing address

250 N. Sunnyslope Road
Suite 203
Milwaukee, WI 53213-3574
Phone (262) 782-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160923000847 WI Practitioner - Clinical Psychologist 5294022992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Behavioral Medicine SCGroup PAC ID 2567488323, 11 clinicians

Practice addresses (Care Compare)

13400 Bishops LN
Suite 290
Brookfield, WI 53005-6254
Phone (414) 248-4726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Behavioral Medicine, SC CurrentSince Aug 25, 2016 Accepting new patients

Locations

250 N Sunny Slope Rd
Ste 203
Brookfield, WI 53005
Phone (262) 782-2820

13400 Bishops Ln
Ste 290
Brookfield, WI 53005
Phone (262) 782-2820

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": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1306230057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N. SUNNYSLOPE ROAD",
            "address_2": "SUITE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532133574",
            "telephone_number": "262-782-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N. SUNNYSLOPE ROAD",
            "address_2": "SUITE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532133574",
            "telephone_number": "262-782-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEH",
        "first_name": "HENRY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.