Active NPI
John Joseph Boyle
- Marriage & Family Therapist
- Solana Beach, CA
National Provider Identifier
1508998469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 39379
- Practice address
- 462 Stevens Ave
Suite 108
Solana Beach, CA 92075-2075 - Phone
- (714) 869-4682
- Fax
- (949) 460-5322
- NPI assigned
- Mar 9, 2007
- Last updated
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 39379 | CA | Primary |
Addresses
Primary practice location
462 Stevens Ave
Suite 108
Solana Beach, CA 92075-2075
Mailing address
21562 Anns LN
Unit B
Laguna Beach, CA 92651-2053
Phone (714) 869-4682
Other names 1
- John Joseph Boyle
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 |
|---|---|---|---|
| MFC 39379 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1508998469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21562 ANNS LN",
"address_2": "UNIT B",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512053",
"telephone_number": "714-869-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 STEVENS AVE",
"address_2": "SUITE 108",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920752075",
"telephone_number": "714-869-4682",
"fax_number": "949-460-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 39379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "BOYLE",
"middle_name": "JOSEPH",
"credential": "L.M.F.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Solana Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.