John R Boekamp is a Clinical in East Providence, Rhode Island. John R Boekamp practices all healthcare services and medical treatments related to Clinical. The NPI Number for John R Boekamp is 1790722627. The last update date is 2011-01-06.
John R Boekamp's current location address is 1011 Veterans Memorial Pkwy, East Providence, Rhode Island. You can contact this provider via phone number 4014321417 and fax number 4014321500. The mailing address for John R Boekamp is 1011 Veterans Memorial Pkwy, East Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Boekamp |
|---|---|
| Address | 1011 Veterans Memorial Pkwy, East Providence, Rhode Island |
| Phone Number | 4014321417 |
| Fax Number | 4014321500 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1790722627 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2011-01-06 |
Provider Mailing Address Detail
| Address | 1011 Veterans Memorial Pkwy |
|---|---|
| City | East Providence |
| State | Rhode Island (RI) |
| Post Code | 29155061 |
| Phone Number | 4014321417 |
| Fax Number | 4014321500 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00666 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 407017 | RI | BLUE CHIP | |
| 61-77966 | RI | UNITED BEHAVIORAL HEALTH | |
| JB29480 | RI | -- | |
| 30160-4 | RI | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to John R Boekamp by the Centers for Medicare & Medicaid Services (CMS)?
The John R Boekamp has been assigned the NPI (National Provider Identifier) 1790722627. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where John R Boekamp is located?
The John R Boekamp is situated at the following address: 1011 Veterans Memorial Pkwy, East Providence, RI, 29155061.
What is the area of specialization for John R Boekamp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John R Boekamp is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790722627 to John R Boekamp?
The Centers for Medicare & Medicaid Services assigned the 1790722627 to John R Boekamp on 2006-05-31.
As of what date were the details related to John R Boekamp most recently updated or revised?
The information pertaining to John R Boekamp, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-06.