Individual provider Active NPI

Jean K Boyd, M.D.

  • Psychiatry Physician
  • Raynham, MA
National Provider Identifier
1669583035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35104 Issued in MA
Practice address
90 Route 44
Raynham, MA 02767-1433
Phone
(508) 880-6868
Fax
(508) 880-6848
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35104 MA Primary

Addresses

Primary practice location

90 Route 44
Raynham, MA 02767-1433

Mailing address

PO Box 268
Taunton, MA 02780-0268
Phone (508) 880-6868

Other identifiers 1

IdentifierTypeStateIssuer
2031027MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000049 MA Practitioner - Psychiatry 4284522855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Pennsylvania, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

923 Route 6a
Suite DD
Yarmouth Port, MA 02675-2231
Phone (508) 362-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35104MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Psychiatric & Psychological Associates, P.C. CurrentSince Aug 12, 2002 Accepting new patients

Locations

90 New State Hwy
#44
Raynham, MA 02767
Phone (508) 822-1129

923 Route 6A
Ste Dd
Yarmouth Port, MA 02675
Phone (508) 362-6868

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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669583035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027800268",
            "telephone_number": "508-880-6868",
            "fax_number": "508-880-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ROUTE 44",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671433",
            "telephone_number": "508-880-6868",
            "fax_number": "508-880-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JEAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "35104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031027",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.