Derrick Boone, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9014616 Issued in NY

Practice address

210 E 25TH St Apt 1FW
New York, NY 10010-3182

Phone

(443) 745-7729

NPI assigned

May 19, 2016

Last updated

May 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union Settlement Association

  • Psychiatry Physician
  • New York, NY
  • NPI 1205990397
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1558718528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 25TH ST APT 1FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103182",
            "telephone_number": "443-745-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 25TH ST APT 1FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103182",
            "telephone_number": "443-745-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "DERRICK",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "9014616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime N Bookfor
• Emma Bookoff
• Peter M. Bookstein, MD
• Boomer Psychological Services PC
• Aretha Boomer
• Lauren Boone
• Nichole Boone
• Quaneisha Boone, BA
• Naphpa Boonpanya, NP
• Joseph Isadha Boonsiri, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.