Boulevard Psychology, LLC
NPI 1508085291ActiveOrganization· Psychologist, Counseling· Overland Park, KS
Psychologist, Counseling in Overland Park, Kansas, registered in NPPES in April 2007. The authorized official on file is Wendy Susan Eaves, PHD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508085291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2007 |
| Last updated in NPPES | Nov 29, 2022 |
| Certified by provider | Nov 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | KS 811 | 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 Part B Supplier - Clinic/Group Practice (KS) |
|---|
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