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DR. RALPH DEWEY BOYNTON PH.D
NPI 1316010077
Psychologist - Clinical in Roswell, GA

Active since November 17, 2006Opted out of Medicare · through Nov 22, 2027
1115 UPPER HEMBREE RD, SUITE B, ROSWELL, GA 30076(770) 754-6101(770) 475-1171 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ralph Dewey Boynton Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RALPH DEWEY BOYNTON PH.D (NPI 1316010077) is an individual clinical provider in Roswell, Georgia, licensed in Georgia (001332) and active in the NPI registry since November 2006. He has opted out of Medicare through November 22, 2027.

NPPES Registry Identity

NPI1316010077
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RALPH DEWEY BOYNTONCredential: PH.D
Location Address1115 UPPER HEMBREE RD, SUITE BRoswell, GA 30076
Mailing Address1115 Upper Hembree Road, Suite BRoswell, GA 30076 · (770) 754-6101 · Fax (770) 475-1171
Phone(770) 754-6101
Fax(770) 475-1171
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 19, 2010
✔ NPI 1316010077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 001332
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 000252 (GA)
1115 UPPER HEMBREE RD, Roswell, GA 30076
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ralph Dewey Boynton Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 22, 2021 through November 22, 2027.

Opt-Out Effective DateNovember 22, 2021
Opt-Out In Effect ThroughNovember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUREEN M. KEOWN, PSY.D., PC
Psychologist (Clinical)
1115 UPPER HEMBREE RD, SUITE B
ROSWELL, GA 30076
Fulton County (770) 346-9914
DR. PEGGY MARRIOTT FORBES M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1115 UPPER HEMBREE RD, SUITE B
ROSWELL, GA 30076
Fulton County (770) 475-1993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Boynton's NPI number?

The NPI number for Ralph Boynton is 1316010077. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Ralph Boynton located?

Ralph Boynton practices at 1115 Upper Hembree Rd Suite B, Roswell, GA 30076. The listed phone number is (770) 754-6101.

What is Ralph Boynton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ralph Boynton enrolled in Medicare?

No. Ralph Boynton has opted out of Medicare through November 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ralph Boynton was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.