Active NPI
Roy Justin Boyd, PH.D.; PSYCHOLOGIST
- Psychologist
- Columbia, MD
National Provider Identifier
1376735266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05187
- Practice address
- 9810 Patuxent Woods Dr
Suite K
Columbia, MD 21046-1595 - Phone
- (443) 923-7755
- Fax
- (410) 309-1573
- NPI assigned
- Aug 14, 2007
- Last updated
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychologist | 103T00000X | 05187 | MD | Primary |
Addresses
Primary practice location
9810 Patuxent Woods Dr
Suite K
Columbia, MD 21046-1595
Mailing address
9810 Patuxent Woods Dr
Suite K
Columbia, MD 21046-1595
Phone (443) 923-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05187 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Krieger Children's Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Kennedy Krieger Institute
- Children's Chronic Disease Hospital
- Fulton, MD
- NPI 1932917085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1376735266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9810 PATUXENT WOODS DR",
"address_2": "SUITE K",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461595",
"telephone_number": "443-923-7755",
"fax_number": "410-309-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9810 PATUXENT WOODS DR",
"address_2": "SUITE K",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461595",
"telephone_number": "443-923-7755",
"fax_number": "410-309-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "ROY",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PH.D.; PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.