DR. ALYSSA BOER (NPI# 1043862188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043862188 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA BOER |
| Credential | PSYD |
| Practice Address |
1330 Win Hentschel Blvd West Lafayette IN 47906-4149 |
| Practice Telephone | 7654443999 |
| Mailing Telephone | 7654443999 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20043195A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1330 WIN HENTSCHEL BLVD |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588811681 | Tianna Kyong Bertsch | Psychologist | 1330 Win Hentschel Blvd, West Lafayette, IN 47906-4149 | 2008-08-20 |
| 1740741750 | Modern Mental Health, Inc. | Psychologist | 1330 Win Hentschel Blvd, West Lafayette, IN 47906-4149 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728536 | Huey Mei Ng | Psychologist | 601 Stadium Mall Dr Rm 246, West Lafayette, IN 47907-2052 | 2018-01-31 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1407354632 | Amanda Lyn Mckinney | Psychologist | 1330 Win Hentschel Blvd Ste 202, West Lafayette, IN 47906-4149 | 2018-01-23 |
| 1003863382 | Liza Raquel Rudolph | Psychologist | 255 E Sunset Ln, West Lafayette, IN 47906-2456 | 2006-05-30 |
| 1124638598 | Clementina P Lo Proto | Psychologist | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2020-07-31 |
| 1750888202 | Mandolin Psychological Assessment Services, LLC | Psychologist | 1201 Cumberland Ave, West Lafayette, IN 47906-1359 | 2018-04-11 |
| 1790283919 | Julie Lynn Beckwith | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2018-01-23 |
| 1417366295 | Chyrl Wilson | Psychologist | 148 Sagamore Pkwy W, West Lafayette, IN 47906-1569 | 2014-08-06 |
| 1346677549 | Katheryne Kopp Miller | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-02 |
| 1851696215 | Ellen B. Dennehy | Psychologist | 148 Sagamore Pkwy W, West Lafayette, IN 47906-1569 | 2011-01-17 |
| Find all providers in WEST LAFAYETTE | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on DR. ALYSSA BOER.
| 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.