Organization Active NPI

Green Road Behavioral Health, Inc.

Doing business as Green Road Behavioral Health

  • Community/Behavioral Health Agency
  • Beachwood, OH
National Provider Identifier
1750990537
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREEN ROAD BEHAVIORAL HEALTH, INC.
Doing business as
Green Road Behavioral Health
Practice address
23980 Chagrin Blvd Ste 107
Beachwood, OH 44122-5542
Phone
(216) 795-5396
Fax
(216) 795-5382
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dr. Thomas Andrew Boyd, PSY.D.NPI 1871515262
Title
Owner/Psychologist
Phone
(216) 793-5396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

23980 Chagrin Blvd Ste 107
Beachwood, OH 44122-5542

Mailing address

3295 Glencairn Rd
Shaker Heights, OH 44122-3407
Phone (216) 702-5542

Other identifiers 1

IdentifierTypeStateIssuer
0681169MedicaidOH

Other names 1

  • Green Road Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112002972 OH Part B Supplier - Clinic/Group Practice 9234542234 Receives reassigned benefits from 2 practitioners
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

23980 Chagrin Blvd
Ste 107
Beachwood, OH 44122
Phone (216) 795-5396

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1750990537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 GLENCAIRN RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223407",
            "telephone_number": "216-702-5542",
            "fax_number": "216-795-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23980 CHAGRIN BLVD STE 107",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225542",
            "telephone_number": "216-795-5396",
            "fax_number": "216-795-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ROAD BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-793-5396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Road Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.