Sheena Louise Boyd, M.A., LMFT
Individual provider Active NPI Marriage & Family Therapist · Lake Havasu City, AZ
NPI 1376972455 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1376972455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 109664 (CA)
- Practice address
- 1520 Acoma LN W
Lake Havasu City, AZ 86403-2451 - Phone
- (714) 469-6575
- NPI assigned
- Nov 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3024 Indian Head Dr
Lake Havasu City, AZ 86406-8640
500 Westover Dr
Sanford, NC 27330-8941
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826005188 | CA | Practitioner - Marriage and Family Therapist | 1052811619 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF74041 | CA | MD | Marriage & Family Therapist |
| 109664 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current |
Accepting new patients |
| Olive Crest | Past |
Accepting new patients | |
| Olive Crest | Past |
Accepting new patients |
Locations
4470 W Sunset Blvd
Ste 107
Los Angeles, CA 90027
Phone (323) 701-0371
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF74041 | CA | |
| Marriage & Family Therapist | 106H00000X | 109664 | CA | Yes |
Addresses
Primary practice location
1520 Acoma LN W
Lake Havasu City, AZ 86403-2451
Mailing address
1520 Acoma LN W
Lake Havasu City, AZ 86403-2451
Phone (714) 469-6575
Other practice location 1
555 Technology Ct
Riverside, CA 92507-2155
Phone (951) 686-8500
Other providers in Lake Havasu City, AZ
- Blue Water Internal Medicine Associates PC
- Kristal Lee Blundell
- Carol Ann Bodman
- Body Mechanix, LLC
- Alexandra Boseant
- Edward Willard Bradshaw III
- Ashly Elizabeth Branaman
- Matthew Brandon Brancazio
- Joselyn Jedick Branchik
- Joshua Brandon
All providers in Lake Havasu City, AZ · Marriage & Family Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.