Active NPI
Katie Ann Boyd, PSY.D.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1659671832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2010036595
- Practice address
- 10411 Clayton Rd
Ste 209
Saint Louis, MO 63131-2912 - Phone
- (314) 833-8833
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2010036595 | MO | Primary |
Addresses
Primary practice location
10411 Clayton Rd
Ste 209
Saint Louis, MO 63131-2912
Mailing address
10411 Clayton Rd
Ste 209
Saint Louis, MO 63131-2912
Phone (314) 833-8833
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010036595 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1659671832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 CLAYTON RD",
"address_2": "STE 209",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312912",
"telephone_number": "314-833-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 CLAYTON RD",
"address_2": "STE 209",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312912",
"telephone_number": "314-833-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "KATIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-22",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2010036595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.