Active NPI
Stephen R Boyle, S.S.P.
- School Psychologist
- Gilbert, AZ
National Provider Identifier
1699815951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 140 S Gilbert Rd
Gilbert, AZ 85296-1016 - Phone
- (480) 813-0051
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
140 S Gilbert Rd
Gilbert, AZ 85296-1016
Mailing address
140 S Gilbert Rd
Gilbert, AZ 85296-1016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1699815951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S GILBERT RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S GILBERT RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961016",
"telephone_number": "480-813-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "STEPHEN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "S.S.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.