Active NPI
Vicki D Boyd, PHD
- Psychologist
- Seattle, WA
National Provider Identifier
1710005095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00000721
- Practice address
- 1836 Westlake Ave N
Suite 300B
Seattle, WA 98109-2755 - Phone
- (206) 285-3755
- Fax
- (206) 285-0501
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00000721 | WA | Primary |
Addresses
Primary practice location
1836 Westlake Ave N
Suite 300B
Seattle, WA 98109-2755
Mailing address
1836 Westlake Ave N
Suite 300B
Seattle, WA 98109-2755
Phone (206) 285-3755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7037658 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050311000388 | WA | Practitioner - Clinical Psychologist | 5092769026 | Practice locations: Seattle, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1818 Westlake Ave N
Suite 314
Seattle, WA 98109-2707
Phone (206) 419-7570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00000721 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1710005095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 WESTLAKE AVE N",
"address_2": "SUITE 300B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092755",
"telephone_number": "206-285-3755",
"fax_number": "206-285-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 WESTLAKE AVE N",
"address_2": "SUITE 300B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092755",
"telephone_number": "206-285-3755",
"fax_number": "206-285-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "VICKI",
"middle_name": "D",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00000721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7037658",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.
- 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.