Brenda Smith-Booth, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010259-1 Issued in NY

Practice address

302 Swart Hill Rd
Amsterdam, NY 12010-7081

Phone

(518) 842-6790

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578585709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "address_2": "SUITE 271",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SWART HILL RD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107081",
            "telephone_number": "518-842-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BOOTH",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010259-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyn Skrlj
• Courtney Slentz
• Dennis C. Small, PA-C
• Alexa Madison Smalls
• Jeanne S Smith Milton, MS CCC SLP
• Markus Snedaker
• Juanito T So, MD
• Valerie E Sobotka Pagano, P.T.
• Muhammad Adnan Sohail, MD
• Chelsea Elizabeth Sohns

• Clinical Psychologist in Amsterdam, NY
• Providers in Amsterdam, 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 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.

Verify at the official NPI Registry.