Boyle Health Services, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38148 Issued in AZ

Legal business name

BOYLE HEALTH SERVICES, PLLC

Practice address

1515 N San Francisco St
Flagstaff, AZ 86001-1435

Phone

(928) 774-0108

Fax

(928) 774-2801

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Heather K Boyle, M.C.NPI 1417127564

Title

Physician

Phone

(928) 774-0108

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Kathleen Boyle, M.D.

  • Psychiatry Physician
  • Flagstaff, AZ
  • NPI 1417127564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1881021012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011435",
            "telephone_number": "928-774-0108",
            "fax_number": "928-774-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011435",
            "telephone_number": "928-774-0108",
            "fax_number": "928-774-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLE HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-774-0108",
        "authorized_official_credential": "M.C."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "38148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389992",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BOYLE'S PERSONAL NPI",
            "identifier": "1417127564",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Bowditch, CNM
• Matthew Greigory Bowe, RN
• Emilie Laura Bowers, FNP
• Rielly Boyd, PH.D.
• Michelle Boyer, PA-C
• Heather Kathleen Boyle, M.D.
• Randi Braak, PHARMD
• Linda L Brabant, P.T.
• Braden Partners LP
• Landon Hope Bradford, ATC

• Psychiatry Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.