Active NPI
Susan Boyd, MS., MFT
- Marriage & Family Therapist
- Bakersfield, CA
National Provider Identifier
1619017209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC32534
- Practice address
- 9711 Holland St
Bakersfield, CA 93312-2772 - Phone
- (661) 322-1020
- Fax
- (661) 322-0552
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | MFC32534 | CA | Primary |
Addresses
Primary practice location
9711 Holland St
Bakersfield, CA 93312-2772
Mailing address
2521 Sutton PL
Bakersfield, CA 93309-4402
Phone (661) 397-8323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ51124Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 5, 2024 through Jul 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC32534 | CA | MD | Marriage & Family Therapist |
| 32534 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619017209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 SUTTON PL",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094402",
"telephone_number": "661-397-8323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 HOLLAND ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122772",
"telephone_number": "661-322-1020",
"fax_number": "661-322-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "SUSAN",
"credential": "MS., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC32534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ51124Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.