Anthony Charles Boykins Sr.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Morgan Hill, CA

NPI 1710243928 · NPPES record last updated Apr 2, 2012

Key facts

NPI
1710243928
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
16264 Church St Ste 103
Morgan Hill, CA 95037-7130
Phone
(408) 776-6201
Fax
(408) 778-9672
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

16264 Church St Ste 103
Morgan Hill, CA 95037-7130

Mailing address

16264 Church St Ste 103
Morgan Hill, CA 95037-7130
Phone (408) 776-6201

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 2, 2012.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1710243928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16264 CHURCH ST STE 103",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377130",
            "telephone_number": "408-776-6201",
            "fax_number": "408-778-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16264 CHURCH ST STE 103",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377130",
            "telephone_number": "408-776-6201",
            "fax_number": "408-778-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKINS",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

All providers in Morgan Hill, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.