Jody L. Boyd, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801077069 Issued in MI

Practice address

427 Seminole Rd
Suite 101
Muskegon, MI 49444-3747

Phone

(231) 737-1213

Fax

(231) 737-1218

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jody L. Pekrul Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Christian Jansen-Yee PSYD & Associates PC

  dba Chris Jansen-Yee PsyD & Associates PC

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1699763763
  NPD (past)
• Thriving Minds Psychotherapy Services LLC

  • Clinical Social Worker
  • Norton Shores, MI
  • NPI 1003635970
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043360647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SEMINOLE RD",
            "address_2": "SUITE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443747",
            "telephone_number": "231-737-1213",
            "fax_number": "231-737-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SEMINOLE RD",
            "address_2": "SUITE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443747",
            "telephone_number": "231-737-1213",
            "fax_number": "231-737-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JODY",
        "middle_name": "L.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000027712",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "PEKRUL",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kellie Crowell Bowen, LMSW
• Monica Anna Bowen, D.O.
• William Joseph Bowen
• Christine Bowman, MD
• Michael John Boxer
• Karla Boyd
• Evie Boyens
• Mary Dallman Boyer, MD
• Trentnie Boyles, DOULA
• Carsten P Boysen, MD

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.