Individual provider Active NPI

Harry S Boyd, PH.D.

  • Clinical Psychologist
  • Norman, OK
National Provider Identifier
1104987031
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
45 Issued in OK
Practice address
909 Alameda St
Norman, OK 73071-5229
Phone
(405) 573-3924
Fax
(405) 360-5100
NPI assigned
Dec 13, 2006
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 45 OK Primary

Addresses

Primary practice location

909 Alameda St
Norman, OK 73071-5229

Mailing address

500 Chautauqua Ave
Norman, OK 73069-5508
Phone (405) 364-3146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000657 OK Practitioner - Clinical Psychologist 8921276718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
45OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Apr 27, 2011 Accepting new patients
State of Oklahoma CurrentSince Apr 27, 2011 Accepting new patients

Locations

909 Alameda St
Norman, OK 73071

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1104987031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAUTAUQUA AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695508",
            "telephone_number": "405-364-3146",
            "fax_number": "405-364-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ALAMEDA ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715229",
            "telephone_number": "405-573-3924",
            "fax_number": "405-360-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "HARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "45",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.