Active NPI
Jennifer Boyd, MA
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1811488893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128729
- Practice address
- 12937 Newport Ave Apt a
Tustin, CA 92780-3589 - Phone
- (714) 420-3800
- NPI assigned
- May 24, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 128729 | CA | Primary |
Addresses
Primary practice location
12937 Newport Ave Apt a
Tustin, CA 92780-3589
Mailing address
12937 Newport Ave Apt a
Tustin, CA 92780-3589
Phone (714) 420-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128729 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1811488893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12937 NEWPORT AVE APT A",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803589",
"telephone_number": "714-420-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12937 NEWPORT AVE APT A",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803589",
"telephone_number": "714-420-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JENNIFER",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "128729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.