Benjamin Daniel Boynton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34827 Issued in TX

Practice address

1810 Shiloh Rd Ste 801
Tyler, TX 75703-2457

Phone

(903) 593-6355

Fax

(903) 534-6518

NPI assigned

Feb 10, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benjamin Daniel Boynton PHD PLLC

  • Clinical Psychologist
  • Tyler, TX
  • NPI 1912361841
  Medicare reassignment NPD Authorized official
• Brittain & Associates Inc

  • Clinical Psychologist
  • Ore City, TX
  • NPI 1285650457
  Medicare reassignment

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1508225145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 S BROADWAY AVE STE 6158",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015405",
            "telephone_number": "903-330-6166",
            "fax_number": "903-534-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD STE 801",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032457",
            "telephone_number": "903-593-6355",
            "fax_number": "903-534-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "BENJAMIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34827",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "34827",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsi Boykin, PA-C
• Christopher Scott Boylan, MD
• Kathryn Leigh Boylan, MD
• Donald Anthony Boyle, LPC
• Robert Leon Boyne, M.D.
• Amanda Boze
• Lucas Bozick
• Jessica Bracks, MD
• Amy Lynn Bradbery, RN, FNP-C
• Braden Partners LP

• Clinical Psychologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.