Organization Active NPI

Sharla Boyd, PH.D., PLLC

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1992215503
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32168 Issued in TX
Legal business name
SHARLA BOYD, PH.D., PLLC
Practice address
6824 Wayne Ave Ste 1
Lubbock, TX 79424-1649
Phone
(806) 414-3616
Fax
(806) 203-3297
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Dr. Sharla Boyd, PH.D.NPI 1639689003
Title
Owner
Phone
(806) 414-3616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 32168 TX Primary

Addresses

Primary practice location

6824 Wayne Ave Ste 1
Lubbock, TX 79424-1649

Mailing address

6614 Bangor Ave
Lubbock, TX 79424-1504
Phone (806) 414-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171128003068 TX Part B Supplier - Clinic/Group Practice 0143587287 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

6438 98th St
Ste 300
Lubbock, TX 79424
Phone (806) 414-3616

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1992215503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 BANGOR AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241504",
            "telephone_number": "806-414-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 WAYNE AVE STE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241649",
            "telephone_number": "806-414-3616",
            "fax_number": "806-203-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARLA BOYD, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "SHARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-414-3616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.