Active NPI
Carole M Booth, MD
- Psychologist
- Baltimore, MD
National Provider Identifier
1275744351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- D0037653
- Practice address
- 611 S Charles St
Fourth Floor
Baltimore, MD 21230-3801 - Phone
- (410) 328-2293
- Fax
- (410) 328-5895
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | D0037653 | MD | Primary |
Addresses
Primary practice location
611 S Charles St
Fourth Floor
Baltimore, MD 21230-3801
Mailing address
PO Box 64277
Baltimore, MD 21264-4277
Phone (410) 328-7037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0037653 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275744351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64277",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644277",
"telephone_number": "410-328-7037",
"fax_number": "410-328-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S CHARLES ST",
"address_2": "FOURTH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212303801",
"telephone_number": "410-328-2293",
"fax_number": "410-328-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "CAROLE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "D0037653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.