Active NPI
Jill Hampton Boyd, M.A.
- Psychologist
- Mechanicsburg, PA
National Provider Identifier
1164458147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-008053
- Practice address
- 960 Century Dr
Mechanicsburg, PA 17055-4374 - Phone
- (717) 795-0330
- Fax
- (717) 795-0407
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-008053 | PA | Primary |
Addresses
Primary practice location
960 Century Dr
Mechanicsburg, PA 17055-4374
Mailing address
2014 Columbia Ave
Camp Hill, PA 17011-5422
Phone (717) 975-0578
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50039865 | Other | PA | CAPITAL BLUE CROSS |
| 767137 | Other | PA | PA BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-008053 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164458147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 COLUMBIA AVE",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170115422",
"telephone_number": "717-975-0578",
"fax_number": "717-795-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 CENTURY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554374",
"telephone_number": "717-795-0330",
"fax_number": "717-795-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JILL",
"middle_name": "HAMPTON",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-008053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50039865",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "767137",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- 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.