Coreen Boeding Hockenberry Boeding, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

595 Issued in CO

Practice address

2550 Stover St Unit E101
Fort Collins, CO 80525-4643

Phone

(970) 493-3440

Fax

(970) 221-2643

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639238280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 STOVER ST UNIT E101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254643",
            "telephone_number": "970-493-3440",
            "fax_number": "970-221-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 STOVER ST UNIT E101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254643",
            "telephone_number": "970-493-3440",
            "fax_number": "970-221-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDING",
        "first_name": "COREEN BOEDING",
        "middle_name": "HOCKENBERRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua E Bock, PSYD
• Brittany Bockelmann
• Hannah Bockholt, RBT
• John Richardson Bodenhamer, MD
• Body & Sole, LLC.
• Lisa M Boesch, RPH
• Sarah Frances Boffa, M.S., CCC-SLP
• Vickie Boggs
• Jennifer Bohannon, LPC
• Rebecca Suzanne Bohl, PA-C

• Clinical Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.