NPIMap

Individual provider Active NPI

Matthew Boyer, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1609238815
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD472717 Issued in PA
Practice address
1 Winding Dr Ste 106
Philadelphia, PA 19131-2907
Phone
(267) 787-6600
Fax
(267) 787-6819
NPI assigned
Mar 26, 2016
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 293276 NY
Psychiatry Physician 2084P0800X MD472717 PA Primary
Addiction Psychiatry Physician 2084P0802X MD472717 PA

Addresses

Primary practice location

1 Winding Dr Ste 106
Philadelphia, PA 19131-2907

Mailing address

34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone (262) 646-4411

Other identifiers 1

IdentifierTypeStateIssuer
293276OtherNYMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
293276NYMDPsychiatry Physician
MD472717PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Behavioral Health - Pennsylvania Inc. Past Accepting new patients
Rogers Behavioral Health - Tennessee Inc PastSince Jul 28, 2024 Accepting new patients
Rogers Behavioral Health Practice PC Psychiatry PastSince Mar 22, 2020 Accepting new patients
Rogers Memorial Hospital, Inc. Past Accepting new patients
Rogers Behavioral Health - Georgia Inc PastSince Mar 22, 2020 Accepting new patients
Rogers Behavioral Health Practice - Tennessee, P.C. Psychiatry PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1609238815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34700 VALLEY RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664500",
            "telephone_number": "262-646-4411",
            "fax_number": "262-646-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINDING DR STE 106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312907",
            "telephone_number": "267-787-6600",
            "fax_number": "267-787-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "293276",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD472717",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "PA",
            "license": "MD472717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "293276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.