Active NPI
Boyd Randal Horton, PSY D, HSPP
- Clinical Psychologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041741A
- Practice address
- 1800 N Meridian St Ste 202
Indianapolis, IN 46202-1443 - Phone
- (317) 981-5503
- NPI assigned
- Sep 30, 2011
- Last updated
- Jun 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Psychologist | 103TC0700X | 20041741A | IN | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1800 N Meridian St Ste 202
Indianapolis, IN 46202-1443
Mailing address
8946 Forest Willow Dr
Indianapolis, IN 46234-8903
Phone (317) 374-5183
Other practice location 1
8946 Forest Willow Dr
Indianapolis, IN 46234-8903
Phone (317) 374-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolutis, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Greenhouse and Associates Inc. | Clinical | Past | Accepting new patients |
| Conduct Curb, LLC | Past | Accepting new patients | |
| Psychological Laboratories of Indianapolis, PC | Past | Accepting new patients |
Locations
1650 45th St
Ste 3
Munster, IN 46321
Phone (219) 220-2021
2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Vienna, WV
- NPI 1821657941
Addiction (Substance Use Disorder), IN, MI
-
- Behavior Analyst
- Anderson, IN
- NPI 1184142358
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1114237336
-
- Psychologist
- Indianapolis, NE
- NPI 1295853992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1376827915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8946 FOREST WILLOW DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462348903",
"telephone_number": "317-374-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N MERIDIAN ST STE 202",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021443",
"telephone_number": "317-981-5503"
}
],
"practiceLocations": [
{
"address_1": "8946 Forest Willow Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462348903",
"country_code": "US",
"telephone_number": "317-374-5183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORTON",
"first_name": "BOYD",
"middle_name": "RANDAL",
"name_prefix": "Mr.",
"credential": "PSY D, HSPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041741A",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.