National Provider Identifier Database

BENJAMIN I DE BOER, PSYD – NPI #1659057446
Clinical

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 breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

BENJAMIN I DE BOER, PSYD
2916 MARKETPLACE DR STE 206&207
FITCHBURG, WI53719-5325
Phone: 401-864-6246
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Group Psychotherapy 103TP2701X

* Indicates primary specialty

NPI Profile & details for BENJAMIN I DE BOER

NPI Number 1659057446
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/26/2023
Last updated 01/18/2026 - About 5 months ago
Sole proprietor1 Yes
Identifiers
  • WI License #: 3452-57
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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