Brock A. Boekhout, PHD
NPI 1275502148ActiveIndividual· Psychologist· Pittsburg, KS
Psychologist (PHD) in Pittsburg, Kansas, trained at Texas Tech University Health Science Center School of Medicine (class of 2000). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1275502148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Dec 28, 2022 |
| Certified by provider | Dec 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1346 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (KS) |
|---|
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Community Health Center of Southeast Kansas IncColumbus, KS · 113 clinicians
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