Active NPI
Jeffrey H. Boyd M.D.and Associates, PLLC
- Psychiatry Physician
- Waterbury, CT
National Provider Identifier
1669035390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JEFFREY H. BOYD M.D.AND ASSOCIATES, PLLC
- Practice address
- 969 W Main St
Waterbury, CT 06708-2653 - Phone
- (203) 573-8555
- NPI assigned
- Apr 18, 2019
- Last updated
- Sep 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey H. Boyd, MD
- Title
- President
- Phone
- (203) 573-8555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
969 W Main St
Waterbury, CT 06708-2653
Mailing address
57 Woods Rd
Bethany, CT 06524-3103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001194703 | Medicaid | CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Waterbury, CT
- NPI 1083697114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1669035390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 WOODS RD",
"city": "BETHANY",
"state": "CT",
"postal_code": "065243103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082653",
"telephone_number": "203-573-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY H. BOYD M.D.AND ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-573-8555",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001194703",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.