Individual provider Active NPI

Jana K Boyd, JANA BOYD, PHD

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1881805935
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 49014 Issued in CA
Practice address
51 W Olive Ave
Redlands, CA 92373-5243
Phone
(909) 793-1078
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 49014 CA Primary

Addresses

Primary practice location

51 W Olive Ave
Redlands, CA 92373-5243

Mailing address

PO Box 146
Forest Falls, CA 92339-0146
Phone (909) 389-1251

Other identifiers 1

IdentifierTypeStateIssuer
IMF 49014OtherCAMFT INTERN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 25, 2024 through Sep 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
IMF 49014CAMDMarriage & Family Therapist
49358CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881805935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "FOREST FALLS",
            "state": "CA",
            "postal_code": "923390146",
            "telephone_number": "909-389-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W OLIVE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735243",
            "telephone_number": "909-793-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JANA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "JANA BOYD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 49014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT INTERN NUMBER",
            "identifier": "IMF 49014",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.