Anne Cadence Boothe, LP, PHD
Individual provider Active NPI Psychologist · Apex, NC
NPI 1114646205 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1114646205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6000 (NC)
- Practice address
- 2311 Energy Dr BLDG 9
Apex, NC 27502-4343 - Phone
- (984) 254-5635
- Fax
- (317) 520-8200
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220912000737 | NC | Practitioner - Clinical Psychologist | 5193100279 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6000 | NC | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Neuropsychology Services, PLLC | Clinical Neuropsychologist | Current |
Accepting new patients |
| Wakemed | Current |
Accepting new patients | |
| Wakemed | Clinical Neuropsychologist | Current |
Accepting new patients |
| Hopebridge LLC | Psychologist | Past | Accepting new patients |
Locations
3310 Croasdaile Dr
Ste 400
Durham, NC 27705
Phone (919) 284-9682
1540 Sunday Dr
Ste 200
Raleigh, NC 27607
Phone (919) 783-8411
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6000 | NC | |
| Psychologist | 103T00000X | 6000 | NC | Yes |
Addresses
Primary practice location
2311 Energy Dr BLDG 9
Apex, NC 27502-4343
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7878
Other practice location 2
1540 Sunday Dr Ste 300
Raleigh, NC 27607-6010
Phone (919) 384-9682
Other practice location 3
3310 Croasdaile Dr Ste 400
Durham, NC 27705-6806
Phone (919) 384-9682
Other names
- Anne Kostic
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.