Healthcare Provider Details

I. General information

NPI: 1124428446
Provider Name (Legal Business Name): MICHAEL BOYLE LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 YORKTOWN ST
SOMERVILLE MA
02144-2424
US

IV. Provider business mailing address

87 YORKTOWN ST
SOMERVILLE MA
02144-2424
US

V. Phone/Fax

Practice location:
  • Phone: 617-237-0321
  • Fax:
Mailing address:
  • Phone: 617-237-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT10000164
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCMF0194021
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: