Individual provider Active NPI

Susan Boyer, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1780733832
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
103713 Issued in MO
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

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
209751122MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Susan K Boyer, MD LLC CurrentSince Dec 1, 2011 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

Verify at the official NPI Registry.