Active NPI
David George Boyles, LPE-I
- Clinical Child & Adolescent Psychologist
- Forrest City, AR
National Provider Identifier
1487801007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 88-13E
- Practice address
- 3998 Highway 1 North
Forrest City, AR 72335 - Phone
- (870) 633-1737
- NPI assigned
- Aug 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 88-13E | AR | Primary |
Addresses
Primary practice location
3998 Highway 1 North
Forrest City, AR 72335
Mailing address
PO Box 66
Wynne, AR 72396
Phone (870) 633-1737
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 |
|---|---|---|---|
| 88-13E | AR | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1487801007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "WYNNE",
"state": "AR",
"postal_code": "72396",
"telephone_number": "870-633-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 HIGHWAY 1 NORTH",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "72335",
"telephone_number": "870-633-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLES",
"first_name": "DAVID",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "LPE-I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AR",
"license": "88-13E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.