ANDREA R. BOYD (NPI# 1114420759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114420759 |
| Entity Type | Individual |
| Full Name | ANDREA R. BOYD |
| Other Name | N/A N/A |
| Credential | MA, QMHP |
| Practice Address |
13136 Western Ave Blue Island IL 60406-2423 |
| Practice Telephone | 7089745823 |
| Practice Fax Number | 7083714563 |
| Mailing Telephone | 7089745823 |
| Mailing Fax Number | 7083714563 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856520 | Andrea Natasha Boyd | Registered Nurse | 3619 Lindholm Rd, Shaker Heights, OH 44120-5126 | 2019-02-06 |
| 1215045745 | Andrea L Boyd | Pharmacist | 400 W. Clay Ave, Plattsburg Clinic Pharmacy, Plattsburg, MO 64477 | 2006-08-25 |
| 1659993491 | Andrea Boyd | Counselor | 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 | 2020-05-14 |
| 1962041723 | Andrea Boyd | Behavioral Analyst | 4434 Society Rd, Arlington, TN 38002-3981 | 2019-12-26 |
| 1558928366 | Andrea Dabney Boyd | Social Worker | 1202 Annapolis Rd, Odenton, MD 21113-1397 | 2019-05-28 |
| 1821489436 | Andrea Boyd | Registered Nurse | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-02-18 |
| 1427369792 | Andrea Rose Boyd | Physical Therapist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-07-01 |
| 1568642239 | Andrea Lynn Boyd | Psychologist | 534 Conkey St Ste 2, Hammond, IN 46324-1146 | 2007-11-09 |
| 1871565598 | Andrea L Boyd | Physician Assistant | 7255 Old Oak Blvd, Cleveland, OH 44130-3329 | 2006-02-06 |
| Street Address |
13136 WESTERN AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295859577 | Michelle Elizabeth Churchey-mims | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2007-03-19 |
| 1659916724 | Meghan Kelly | Social Worker | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-11-13 |
| 1396302881 | Carolyn Barnes | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-21 |
| 1003473505 | Belinda Childs | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-21 |
| 1831756329 | James Branch | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-21 |
| 1619534203 | Candace Clark | Social Worker | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-20 |
| 1568920833 | Kimberley Jane Tarcak | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-03-06 |
| 1902371461 | Rachel Parker | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2018-10-10 |
| 1013408103 | Briana E Wright | Social Worker | 13136 Western Ave, Blue Island, IL 60406-2423 | 2018-05-23 |
| 1578064036 | Sierra L Parham-gantt | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265667679 | Ralph Salvatore Pollaro | Counselor | 2110 York St, Blue Island, IL 60406-2520 | 2009-05-29 |
| 1568920833 | Kimberley Jane Tarcak | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-03-06 |
| 1902371461 | Rachel Parker | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2018-10-10 |
| 1366958068 | Katie Karner | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2017-12-18 |
| 1093256596 | Nicole Frazier | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2017-03-16 |
| 1174063838 | Sarah Ahmed | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2017-02-28 |
| 1467904458 | Chelsea Christine Werries | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2016-10-26 |
| 1538611538 | Katherine Robinson | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2016-10-26 |
| 1447623970 | Katrina Neubauer | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-11-05 |
| 1568834158 | Angelica Cornejo | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-10-22 |
| Find all providers in BLUE ISLAND | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on ANDREA R. BOYD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.