Robert Samuel Boyd, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

77-1P Issued in AR

Practice address

4 Shackleford PLZ
Suite 103
Little Rock, AR 72211-1840

Phone

(501) 224-7626

Fax

(501) 224-5048

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1801855952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHACKLEFORD PLZ",
            "address_2": "SUITE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111840",
            "telephone_number": "501-224-7626",
            "fax_number": "501-224-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHACKLEFORD PLZ",
            "address_2": "SUITE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111840",
            "telephone_number": "501-224-7626",
            "fax_number": "501-224-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ROBERT",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "77-1P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123156719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles M Boyd, M.D.
• Franklin August Boyd, MD
• Jennifer Lynn Boyd, APRN
• Kharisma Boyd
• Rachael Nicole Boyd
• Jacob Micah Boydstun, D.O.
• Gwyneth Boyer
• Maranda Boyer, CRNA
• Rema Lynn Boyer, LPN
• Boyette Facial Plastic Surgery, PA

• Psychologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.

Verify at the official NPI Registry.