Active NPI
Green Road Behavioral Health, Inc.
Doing business as Green Road Behavioral Health
- Community/Behavioral Health Agency
- Beachwood, OH
National Provider Identifier
1750990537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0681169 | Medicaid | OH |
Other names 1
- Green Road Behavioral Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Beachwood, OH
- NPI 1871515262
-
- Clinical Social Worker
- Highland Heights, OH
- NPI 1508368481
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.