BENJAMIN DANIEL BOYNTON PHD PLLC
NPI 1912361841
Psychologist - Clinical in Tyler, TX
About Benjamin Daniel Boynton Phd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN DANIEL BOYNTON PHD PLLC (NPI 1912361841) is a healthcare organization registered as a clinical in Tyler, Texas and active in the NPI registry since April 2016. The organization lists Benjamin Daniel Boynton, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Daniel Boynton Phd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Benjamin Daniel Boynton Phd PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Benjamin Daniel Boynton Phd PLLC's NPI number?
The NPI number for Benjamin Daniel Boynton Phd PLLC is 1912361841. It was assigned to this organization in the NPPES registry on April 6, 2016.
Where is Benjamin Daniel Boynton Phd PLLC located?
Benjamin Daniel Boynton Phd PLLC is located at 1810 Shiloh Rd Suite 801, Tyler, TX 75703. The listed phone number is (903) 593-6355.
What is Benjamin Daniel Boynton Phd PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Benjamin Daniel Boynton Phd PLLC enrolled in Medicare?
Yes. Benjamin Daniel Boynton Phd PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Benjamin Daniel Boynton Phd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Benjamin Daniel Boynton Phd PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Benjamin Daniel Boynton Phd PLLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Benjamin Daniel Boynton Phd Pllc · NPI 1912361841
Clinical organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since April 6, 2016.
## Identity
- **NPI:** 1912361841 (Entity type: Organization)
- **Enumerated:** April 6, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Benjamin Boynton, PSYCHOLOGIST
## Practice location
- **Address:** 1810 SHILOH RD, SUITE 801, Tyler, TX 75703-2419
- **Phone:** (903) 593-6355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912361841) · Data from the CMS NPPES public registry.