Eileen Boyle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03422 Issued in MD

Practice address

4300 Montgomery Ave
Suite 202
Bethesda, MD 20814-4474

Phone

(301) 529-2825

NPI assigned

Nov 14, 2008

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 names 1

• Eileen Rustgi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 7, 2020 through May 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clearview Communities, LLC

  • Psychiatric Residential Treatment Facility
  • Frederick, MD
  • NPI 1154661171
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1184878316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 MEYER POINT TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208545426",
            "telephone_number": "301-529-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MONTGOMERY AVE",
            "address_2": "SUITE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144474",
            "telephone_number": "301-529-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "EILEEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "RUSTGI",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark W Bowyer, MD
• Jarred Boyd
• Sharlita Rebecca Boyd, LMSW
• Evelyn Phipps Boyer, PH.D.
• Shara Boykin
• Patrick Boyle, RN
• Rodney Dean Boyum, M.D., PH.D.
• Ashley Bee Bozzay
• Joseph Daniel Bozzay, M.D.
• Betsy Brach, CRNP

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.