Active NPI
Susan Boyer, M.D.
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1780733832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 103713
- Practice address
- 8301 Maryland Ave Ste 330
Saint Louis, MO 63105-3660 - Phone
- (314) 721-3381
- Fax
- (314) 721-3384
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 103713 | MO | Primary |
Addresses
Primary practice location
8301 Maryland Ave Ste 330
Saint Louis, MO 63105-3660
Mailing address
8301 Maryland Ave Ste 330
Saint Louis, MO 63105-3660
Phone (314) 721-3381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209751122 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110628000845 | MO | Practitioner - Psychiatry | 6901084607 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Missouri, Columbia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8301 Maryland Ave
Suite 330
Clayton, MO 63105-3660
Phone (314) 721-3381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan K Boyer, MD LLC | Current | Accepting new patients |
Locations
9890 Clayton Rd
Ste 100
Saint Louis, MO 63124
Phone (314) 222-5882
8301 Maryland Ave
Ste 330
Saint Louis, MO 63105
Phone (314) 413-1391
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1780733832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 MARYLAND AVE STE 330",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053660",
"telephone_number": "314-721-3381",
"fax_number": "314-721-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 MARYLAND AVE STE 330",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053660",
"telephone_number": "314-721-3381",
"fax_number": "314-721-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "103713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209751122",
"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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.