DR. PAWEL BOYD ED.D.
NPI 1679766091
Psychologist in San Jose, CA

Active since August 20, 2007PECOS Enrolled
275 HOSPITAL PKWY, SUITE 370, SAN JOSE, CA 95119(408) 972-3428 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Feb 7, 2017 (2 updates tracked since 2017).

About Dr. Pawel Boyd Ed.d. NPPES

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

DR. PAWEL BOYD ED.D. (NPI 1679766091) is an individual psychologist in San Jose, California, licensed in California (PSY 26663) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679766091
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PAWEL BOYDCredential: ED.D.
Location Address275 HOSPITAL PKWY, SUITE 370San Jose, CA 95119-1106
Mailing Address275 Hospital Pkwy, Suite 370San Jose, CA 95119-1106
Sole ProprietorNo
Enumeration DateAugust 20, 2007
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1679766091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY 26663
Definition
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.
275 HOSPITAL PKWY, San Jose, CA 95119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pawel Boyd Ed.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pawel Boyd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Social Worker
275 HOSPITAL PKWY, SUITE 865
SAN JOSE, CA 95119
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Health Maintenance Organization
275 HOSPITAL PKWY, SUITE NUMBER 370
SAN JOSE, CA 95119
Family Medicine (Geriatric Medicine)
275 HOSPITAL PKWY, SUITE 325
SAN JOSE, CA 95119

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 Pawel Boyd's NPI number?

The NPI number for Pawel Boyd is 1679766091. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Pawel Boyd located?

Pawel Boyd practices at 275 Hospital Pkwy Suite 370, San Jose, CA 95119. The listed phone number is (408) 972-3428.

What is Pawel Boyd's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Pawel Boyd enrolled in Medicare?

Yes. Pawel Boyd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pawel Boyd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pawel Boyd reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pawel Boyd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pawel Boyd was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.