KIRK W BOYENGA


Address: 1124 South Sixth Street, Springfield, IL 62703-0406
Phone: 2175233143

KIRK W BOYENGA (NPI# 1568500056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568500056
Entity Type Individual
Full Name KIRK W BOYENGA
Credential PHD
Practice Address 1124 South Sixth Street
Springfield
IL 62703-0406
Practice Telephone 2175233143
Practice Fax Number 2175237695
Mailing Telephone 2175233143
Mailing Fax Number 2175237695
Enumeration Date 2007-02-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Office Location

Street Address 1124 SOUTH SIXTH STREET
City SPRINGFIELD
State IL
Zip Code 62703-0406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881746501 Obul Reddy Psychiatry & Neurology 1124 South Sixth Street, Springfield, IL 62703 2007-01-16
1013053958 Kripakaran M Puvalai Psychiatry & Neurology 1124 South Sixth Street, Springfield, IL 62703 2007-01-29
1376698050 Psychological Associates of Central Illinois Ltd Psychologist 1124 South Sixth Street, Springfield, IL 62703-0406 2007-01-24
1134271166 Pamela M Lucas Social Worker 1124 South Sixth Street, Springfield, IL 62703-0406 2007-01-18
1447302583 Julie M Tucker Social Worker 1124 South Sixth Street, Springfield, IL 62703-0406 2007-01-17
1184776700 Thomas William Low Psychologist 1124 South Sixth Street, Springfield, IL 62703-0406 2007-01-16
1487706107 Randall Joseph Soland Counselor 1124 South Sixth Street, Springfield, IL 62703-0406 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790260917 Jessica Lynne Zeeck Behavior Technician 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 2018-10-03
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
1144712100 Fresenius Medical Care Springfield East, LLC Clinic/Center 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 2018-06-05
1558889170 Ji Woung Choi Dentist 687 E Linton Ave., Springfield, IL 62703 2017-09-04
1477006161 Encompass Home Health of The Midwest,llc Home Health 2970 Baker Dr, Springfield, IL 62703 2016-07-28
1851706824 Terah Louise Holland Obstetrics & Gynecology 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 2014-06-27
1578993101 Corey Moore Behavioral Analyst 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 2013-11-18
1134463052 The Center for Youth and Family Solutions Inc. Voluntary or Charitable 614 North Sixth Street, Springfield, IL 62703 2012-11-15
1447519111 Tenshi Furumi Specialist/Technologist One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 2012-05-15
1447558390 Shalini Mulkanoor Family Medicine 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 2011-03-02
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1689126120 Assessment Consultants, LLC Psychologist 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 2016-11-01
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1669929907 Richart Lipe Demier Psychologist 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 2016-09-03
1043660905 Safe Harbor Christian Counseling of Northern Virginia LLC Psychologist 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 2016-06-21
1659786432 Kimberly Wilkins Psyd LLC Psychologist 1344 W Oakville Rd, Springfield, MO 65810-1696 2014-06-30
1548507817 Bahn and Associates Psychologist 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 2013-01-07
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Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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