Paul C Booker, EDD PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

NJ2465 Issued in NJ

Practice address

31 Tanner Street
Haddonfield, NJ 08033

Phone

(856) 428-7646

Fax

(856) 216-1839

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haddonfield Psych Management PAGroup PAC ID 5890735864, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Haddonfield Psych Management PA

  • Psychologist
  • Haddonfield, NJ
  • NPI 1205903549

  NJ, Psychologist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1811086663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TANNER STREET",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-7646",
            "fax_number": "856-216-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TANNER STREET",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-7646",
            "fax_number": "856-216-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "EDD PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "NJ2465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gabrielle Bidey, CRNP
• Zach S Bille
• Tamar A Block Wiener, PAC
• Cheryl Ann Blocker-Cappelletti MSN, RN CCM, RN
• Lily W Bollinger, PSYD
• Borough of Haddonfield
• Janis L Bossert, MSW, LCSW
• Cynthia L Boyer, PH.D.
• Vladimir Stefan Bozic, M.D.
• Brandywine Senior Living at Haddonfield, LLC

• All providers in Haddonfield, NJ
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.