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Deactivated NPI 1770647026 Deactivated / Inactive NPI Male Practitioner

Dr. Jerrold L Boyles , EdD

Psychologist • Cincinnati, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerrold Boyles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 21, 2006
NPI Deactivation Date August 07, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jerrold Boyles, EdD was a registered Psychologist practicing in Cincinnati, OH. Throughout an active medical career spanning 18 years, Dr. Boyles provided care at the practice location at 10979 REED HARTMAN HWY until profile deactivation on 2024-08-07.

Practice Location & Contact Primary Location

Practice Address

10979 Reed Hartman Hwy
Suite 218

Cincinnati, OH 452422825

Telephone 5813791588
Fax 5137917447
Associated Practice Facility / Clinic
🏢 Cd Partners Homewell Services Facility NPI 1326120189

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.9 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
291 Specialists

Practicing in Cincinnati, OH (1639 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 2257

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Margie Mortimer , MA, LPCC

Counselor - Professional

NPI 1174613467

Master of Arts, Licensed Professional Clinical Counselor

Dr. John Heideman , PsyD

Psychologist - Clinical

NPI 1285624122

Doctor of Psychology (Psy.D.)

Leigh Klyop

Psychologist - Clinical

NPI 1972587608

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2024

Record deactivated on August 07, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10979 REED HARTMAN HWY, SUITE 218, CINCINNATI, OH 452422825 (Tel: 5813791588)

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Updated Business Mailing Address July 08, 2007

Registered at 10979 REED HARTMAN HWY, SUITE 218, CINCINNATI, OH 452422825 (Tel: 5813791588)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERROLD BOYLES, EDD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2257 in OH)

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Initial NPI Registration & Enumeration December 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770647026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2006
Last Update: July 08, 2007
Deactivation Date: August 07, 2024

Mailing Address

10979 Reed Hartman Hwy, Suite 218

Cincinnati, OH 452422825

Phone: 5813791588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.