Mark Boyle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8529-1 Issued in NY

Practice address

189 Sunrise Hwy Ste 207
Rockville Centre, NY 11570-4723

Phone

(516) 536-5151

Fax

(516) 825-6861

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407978182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SUNRISE HWY STE 207",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704723",
            "telephone_number": "516-536-5151",
            "fax_number": "516-825-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 SUNRISE HWY STE 207",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704723",
            "telephone_number": "516-536-5151",
            "fax_number": "516-825-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8529-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENCE",
            "identifier": "8529-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianna Angela Boni
• Larissa Boodhoo, LCSW, CASAC
• Danielle Botnick
• Catherine Bowes, L. AC.
• Ronald Lloyd Boykin, PSY.D.
• Samantha Lynn Boyle, PA-C
• Antigone Bozikis, PT
• Serinna Alexia Bradfield, LMHC
• Bradley S. Portenoy, D.D.S,P.C.
• Jillian Brana

• Clinical Psychologist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Clinical Psychologist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.