Organization Active NPI

Katie Boyd, Psy.D., LLC

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1770096018
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2010036595 Issued in MO
Legal business name
KATIE BOYD, PSY.D., LLC
Practice address
10411 Clayton Rd Ste 209
Saint Louis, MO 63131-2912
Phone
(314) 833-8833
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Dr. Katie Ann Boyd, PSYDNPI 1659671832
Title
Clinical Psychologist/Owner
Phone
(314) 833-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2010036595 MO Primary

Addresses

Primary practice location

10411 Clayton Rd Ste 209
Saint Louis, MO 63131-2912

Mailing address

10411 Clayton Rd Ste 209
Saint Louis, MO 63131-2912
Phone (314) 833-8833

Other identifiers 1

IdentifierTypeStateIssuer
1659671832OtherMOINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

10411 Clayton Rd
Ste 209
Saint Louis, MO 63131
Phone (314) 833-8833

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1770096018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 CLAYTON RD STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312912",
            "telephone_number": "314-833-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 CLAYTON RD STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312912",
            "telephone_number": "314-833-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE BOYD, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "314-833-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2010036595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659671832",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.