William Lewis Boyd, MA, NCC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

IMH 3051 Issued in FL

Practice address

315 N Lakemont Ave
Winter Park, FL 32792-3205

Phone

(407) 830-6412

NPI assigned

Oct 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1669708574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S VIRGINIA AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711559",
            "telephone_number": "407-474-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923205",
            "telephone_number": "407-830-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "WILLIAM",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boutique Dermatology LLC
• Peter Bove, M.D.
• Brandon Boyd, MA
• Joseph Barry Boyd, M.D.
• Sheryl Boyd
• Patricia Boyed
• Sylvia Ann Bozeman, ARNP
• Amanda Bracero
• Vanessa M Bracero
• Missy Allen Bradburn

• Community/Behavioral Health Agency in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.