Active NPI
Terrence Boyadjis, MD
- Psychiatry Physician
- West Chester, PA
National Provider Identifier
1669699120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD033557E
- Practice address
- 790 E Market St
Suite 245
West Chester, PA 19382-4806 - Phone
- (610) 738-9576
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD033557E | PA | Primary |
Addresses
Primary practice location
790 E Market St
Suite 245
West Chester, PA 19382-4806
Mailing address
790 E Market St
Suite 245
West Chester, PA 19382-4806
Phone (610) 738-9576
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 2, 2015 through Sep 2, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
790 E Market St
Suite 245
West Chester, PA 19382-4806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033557E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1669699120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 E MARKET ST",
"address_2": "SUITE 245",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193824806",
"telephone_number": "610-738-9576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E MARKET ST",
"address_2": "SUITE 245",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193824806",
"telephone_number": "610-738-9576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYADJIS",
"first_name": "TERRENCE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD033557E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.