Individual provider Active NPI

Andrew D Booty, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1679691356
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A103502 Issued in CA
Practice address
401 Parnassus Ave
San Francisco, CA 94143-2211
Phone
(415) 476-7412
Fax
(415) 476-7404
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 238286 NY
Psychiatry Physician 2084P0800X A103502 CA Primary

Addresses

Primary practice location

401 Parnassus Ave
San Francisco, CA 94143-2211

Mailing address

401 Parnassus Ave
San Francisco, CA 94143-2211
Phone (415) 476-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000584 CA Practitioner - Psychiatry 1850451261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Chicago, Pritzker School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Psychiatric AssociatesGroup PAC ID 6204723331, 60 clinicians

Practice addresses (Care Compare)

2001 Dwight Way
RM 4190
Berkeley, CA 94704-2608
Phone (510) 204-4635

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103502CAMDPsychiatry Physician
238286NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2008 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2008 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2008 Accepting new patients
Bay Psychiatric Associates Psychiatry CurrentSince Aug 25, 2019 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Jul 1, 2008 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2008 Accepting new patients

Locations

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2020 Milvia St
Ste 300
Berkeley, CA 94704
Phone (510) 843-2220

2001 Dwight Way
Ste 4190
Berkeley, CA 94704
Phone (510) 204-4635

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

Interoperability endpoints

  • Direct secure messaging: abooty15063@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1679691356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432211",
            "telephone_number": "415-476-7412",
            "fax_number": "415-476-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432211",
            "telephone_number": "415-476-7412",
            "fax_number": "415-476-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTY",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "238286",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A103502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.