Active NPI
Jon Wesley Boyd, M.D., PH.D.
- Psychiatry Physician
- Somerville, MA
National Provider Identifier
1932140258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 78566
- Practice address
- 236 Highland Ave
Somerville, MA 02143-1495 - Phone
- (617) 591-6300
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 78566 | MA | Primary |
Addresses
Primary practice location
236 Highland Ave
Somerville, MA 02143-1495
Mailing address
236 Highland Ave
Somerville, MA 02143-1495
Phone (617) 591-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3141829 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78566 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1932140258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 HIGHLAND AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431495",
"telephone_number": "617-591-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 HIGHLAND AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431495",
"telephone_number": "617-591-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JON",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "78566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3141829",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.