Individual provider Active NPI

Sean Boyd

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1013798107
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0033645 Issued in OH
Practice address
18660 Bagley Rd
Cleveland, OH 44130-3483
Phone
(440) 223-2804
NPI assigned
Oct 13, 2023
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X APRN.CNP.0033645 OH
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN.CNP.0033645 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0033645 OH Primary

Addresses

Primary practice location

18660 Bagley Rd
Cleveland, OH 44130-3483

Mailing address

18660 Bagley Rd
Cleveland, OH 44130-3483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122003263 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 9234587619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Pathways Clinic LLCGroup PAC ID 9436553716, 6 clinicians

Practice addresses (Care Compare)

18660 Bagley Rd
Suite 101
Middleburg Heights, OH 44130-3483
Phone (440) 973-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033645OHMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Pathways Clinic LLC CurrentSince Oct 10, 2023 Accepting new patients

Locations

7275 Sawmill Rd
Dublin, OH 43016
Phone (614) 212-4880

18660 Bagley Rd
Ste 101
Middleburg Heights, OH 44130
Phone (440) 234-8300

4212 State Route 306
Ste 100
Willoughby, OH 44094
Phone (440) 973-8400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1013798107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-223-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "APRN.CNP.0033645",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "APRN.CNP.0033645",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.