Beth Boone, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10428 Issued in FL

Practice address

14448 Bruce B Downs Blvd
Tampa, FL 33613-2612

Phone

(813) 701-2471

Fax

(813) 701-2471

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.boone.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  FL, Psychologist, TX

  Medicare reassignment Care Compare group NPD
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047

  Clinical

  Medicare reassignment NPD
• Beth C. Boone, PH.D., PLLC

  • Psychologist
  • Tampa, FL
  • NPI 1497313514
  NPD Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1982768693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S DRAGONWOOD PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816128",
            "telephone_number": "328-257-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14448 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132612",
            "telephone_number": "813-701-2471",
            "fax_number": "813-701-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6262 142nd Ave N Unit 1103",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337602772",
            "country_code": "US",
            "telephone_number": "832-257-0318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 S Dragonwood Pl Ste 2",
            "address_purpose": "LOCATION",
            "city": "Spring/The Woodlands",
            "state": "TX",
            "postal_code": "773816128",
            "country_code": "US",
            "telephone_number": "832-257-0318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337163810",
            "country_code": "US",
            "telephone_number": "561-790-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "14063",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182304901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1823049-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Janelle Bookal-Satchwell
• Debi Booker
• Jennifer Booker, LMHC
• Myron Booker, ED.D.; LMSW
• Ryan Neil Bookout, PHARMD, BCOP
• McKenna Boone, PA-C
• Margaret Booth-Jones, PHD
• Bryan Booth, PHD
• Canesia V Booth, BS,RKT
• Mary Watts Booth, MS CCCSLP

• Clinical Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.