Booth Psychological and Educational Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

121 Issued in OK

Legal business name

BOOTH PSYCHOLOGICAL AND EDUCATIONAL SERVICES, INC

Doing business as

Kerry G. Booth, Ph. D., p.c.

Practice address

6140 S Florence PL
Tulsa, OK 74136-1201

Phone

(918) 749-9357

NPI assigned

Aug 16, 2006

Last updated

Jul 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kerry G. Booth, PH.D.

Title

President/Clinical Psychologist

Phone

(918) 749-9357

Specialties & licenses 1

Addresses

Other names 1

• Kerry G. Booth, Ph. D., p.c. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1316050370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S FLORENCE PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361201",
            "telephone_number": "918-749-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S FLORENCE PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361201",
            "telephone_number": "918-749-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH PSYCHOLOGICAL AND EDUCATIONAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "918-749-9357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerry G. Booth, Ph. D., p.c.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Boone Jr.
• R Tyler Boone, MD
• Robyn A Boone, BACHELORS
• Howard J Boos, D.C.
• Tiffany Boos
• Kaitlyn Booth, RN, IBCLC
• Jessica Boothe
• Jon Ronald Bopp, MD
• Aimee P Borazanci, M.D.
• Jordan E Bordeaux, MPH

• Clinical Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.