Individual provider Active NPI

Rita A Boyojko, PSYD

  • Clinical Psychologist
  • Warren, PA
National Provider Identifier
1750460622
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005684L Issued in PA
Practice address
315 2ND Ave Ste 403
Warren, PA 16365-2419
Phone
(814) 728-6074
Fax
(814) 217-1540
NPI assigned
Nov 3, 2006
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005684L PA Primary

Addresses

Primary practice location

315 2ND Ave Ste 403
Warren, PA 16365-2419

Mailing address

315 2ND Ave Ste 403
Warren, PA 16365-2419
Phone (814) 728-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070108000551 PA Practitioner - Clinical Psychologist 5294735635 Practice locations: Warren, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 2ND Ave
Suite 403
Warren, PA 16365-2434
Phone (814) 728-6074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS005684LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1750460622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 2ND AVE STE 403",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652419",
            "telephone_number": "814-728-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 2ND AVE STE 403",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652419",
            "telephone_number": "814-728-6074",
            "fax_number": "814-217-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYOJKO",
        "first_name": "RITA",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005684L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.