Individual provider Active NPI

Cynthia O'Haris Boyd, MA CCC SLP

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1154446961
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2673 Issued in SC
Practice address
576 Anson Drive
Lake Carolina
Columbia, SC 29229-7244
Phone
(803) 865-6045
Fax
(803) 865-6045
NPI assigned
Mar 20, 2007
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2673 SC Primary

Addresses

Primary practice location

576 Anson Drive
Lake Carolina
Columbia, SC 29229-7244

Mailing address

576 Anson Dr
Columbia, SC 29229-7422
Phone (803) 260-6471

Other identifiers 1

IdentifierTypeStateIssuer
SA0776MedicaidSC

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)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Adept Speech Therapy, LLC Speech-Language Pathologist CurrentSince Mar 17, 2024 Accepting new patients
Northeast Speech-Language Pathology, LLC (Neslp) Speech-Language Pathologist PastSince Aug 8, 2021 Accepting new patients

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1154446961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 ANSON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297422",
            "telephone_number": "803-260-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 ANSON DRIVE",
            "address_2": "LAKE CAROLINA",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297244",
            "telephone_number": "803-865-6045",
            "fax_number": "803-865-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CYNTHIA",
        "middle_name": "O'HARIS",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0776",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.