Active NPI
David Boyd, LMLP
- Clinical Psychologist
- Pittsburg, KS
National Provider Identifier
1437240207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 899
- Practice address
- 911 E Centennial Dr
Pittsburg, KS 66762-6601 - Phone
- (620) 231-1530
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0217 | KS | |
| Clinical Psychologist | 103TC0700X | 899 | KS | Primary |
Addresses
Primary practice location
911 E Centennial Dr
Pittsburg, KS 66762-6601
Mailing address
911 E Centennial Dr
Pittsburg, KS 66762-6601
Phone (620) 231-1530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0217 | KS | MD | Psychologist |
| 899 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1437240207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E CENTENNIAL DR",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626601",
"telephone_number": "620-231-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E CENTENNIAL DR",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626601",
"telephone_number": "620-231-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "DAVID",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "0217",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.