Kimberly Marie Boeke, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005673 Issued in VA

Practice address

141 Parker St
Maynard, MA 01754-2178

Phone

(866) 991-2103

NPI assigned

Apr 6, 2017

Last updated

Oct 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri Area Community HealthGroup PAC ID 6204748296, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Tri Area Community Health

  dba Tri Area Community Health at Laurel Fork

  • Federally Qualified Health Center (FQHC)
  • Laurel Fork, VA
  • NPI 1346227584
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1467985457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WATERVIEW DR UNIT 152",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626349",
            "telephone_number": "815-236-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARKER ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542178",
            "telephone_number": "866-991-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15301 Warren Shingle Rd",
            "address_purpose": "LOCATION",
            "city": "Beale AFB",
            "state": "CA",
            "postal_code": "959031905",
            "country_code": "US",
            "telephone_number": "530-634-3420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "fax_number": "540-745-9290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Ferrum Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Ferrum",
            "state": "VA",
            "postal_code": "240882939",
            "country_code": "US",
            "telephone_number": "540-365-4469",
            "fax_number": "540-365-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEKE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005673",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balanced Mind & Wellness
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• Adriane Barrera, LCSW
• Benjamin Roth DMD PLLC (Assabet Orthodontics)
• Courtney Berens
• Monica Bolton, LPCC
• Melinda Bowens
• Brain Body Synergy LLC
• Wendy Anne Calender, NP
• Robert R Cassidy, LICSW

• Clinical Psychologist in Maynard, MA
• Providers in Maynard, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.