Boomer Psychological Services PC
NPI 1992132963 · Clinical Psychologist · New York, NY
Boomer Psychological Services PC is a Clinical Psychologist organization in New York, NY (NPI 1992132963).
Provider details
- NPI number
- 1992132963
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bonnie Kellen, President(212) 861-0740
- License
- 011975 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-10-04
- Last updated
- 2013-10-04
Frequently asked questions
- What is Boomer Psychological Services PC's NPI number?
- Boomer Psychological Services PC's National Provider Identifier (NPI) is 1992132963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boomer Psychological Services PC?
- Boomer Psychological Services PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Boomer Psychological Services PC located?
- Boomer Psychological Services PC's practice location on file with NPPES is 201 E 77th St Apt 16e, New York, NY 10075-2085.
- What is Boomer Psychological Services PC's phone number?
- The practice phone number listed in the NPPES registry for Boomer Psychological Services PC is (212) 861-0740.
- Who is the authorized official for Boomer Psychological Services PC?
- The authorized official listed on Boomer Psychological Services PC's NPPES record is Bonnie Kellen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boomer Psychological Services PC's NPI active?
- Yes — Boomer Psychological Services PC's NPI (1992132963) is active in the NPPES registry as of the last update on 2013-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.