Individual provider Active NPI

Sharla Boyd, PH.D.

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1639689003
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32168 Issued in TX
Practice address
6824 Wayne Ave Ste 1
Lubbock, TX 79424-1649
Phone
(806) 414-3616
Fax
(806) 203-3297
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32168 TX Primary
Counseling Psychologist 103TC1900X 32168 TX

Addresses

Primary practice location

6824 Wayne Ave Ste 1
Lubbock, TX 79424-1649

Mailing address

6614 Bangor Ave
Lubbock, TX 79424-1504
Phone (806) 535-0399

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171128003184 TX Practitioner - Clinical Psychologist 1052678190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6438 98TH St
Suite 300
Lubbock, TX 79424-5480
Phone (806) 414-3616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32168TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharla Boyd, PH.D., PLLC Psychologist CurrentSince Jan 1, 2018 Accepting new patients

Locations

6824 Wayne Ave
Ste 1
Lubbock, TX 79424
Phone (806) 414-3616

6438 98th St
Ste 300
Lubbock, TX 79424
Phone (806) 414-3616

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1639689003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 BANGOR AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241504",
            "telephone_number": "806-535-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 WAYNE AVE STE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241649",
            "telephone_number": "806-414-3616",
            "fax_number": "806-203-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SHARLA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32168",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.