Active NPI
Billy Joe Boyd III, PH.D.
- Clinical Psychologist
- Ada, OK
National Provider Identifier
1063405769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 992
- Practice address
- 1300 Hoppe Blvd Outpatient Services-Ada
Suite 6 Strong Family Development
Ada, OK 74820 - Phone
- (580) 436-1222
- Fax
- (580) 436-1333
- NPI assigned
- Aug 26, 2005
- Last updated
- Nov 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 992 | OK | Primary |
Addresses
Primary practice location
1300 Hoppe Blvd Outpatient Services-Ada
Suite 6 Strong Family Development
Ada, OK 74820
Mailing address
210 E. Main
Resource Management
Ada, OK 74820
Phone (580) 436-7211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1063405769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E. MAIN",
"address_2": "RESOURCE MANAGEMENT",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-7211",
"fax_number": "580-272-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOPPE BLVD OUTPATIENT SERVICES-ADA",
"address_2": "SUITE 6 STRONG FAMILY DEVELOPMENT",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-1222",
"fax_number": "580-436-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "BILLY",
"middle_name": "JOE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.