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Active NPI 1184661175 Individual Practitioner Male Practitioner

Dr. Raydell Booth , PhD

Psychologist • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Dr. Raydell Booth, PhD is a registered healthcare professional specializing in Psychologist in Eagle, ID. Practice services are available at 4060 E CHINDEN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4060 E Chinden Blvd

Eagle, ID 836166481

Telephone 2083771131
Fax 2083771171
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Eagle, ID (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
69 11 $115.00 $68.77

Medical Specialties & State Licenses

CMS Verified: 2020-02-19
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License ID PSY211

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Shaunna Bach , MS, LPC, NCC

Counselor - Professional

NPI 1427473594

Master of Science, Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 19, 2020

Registered at 13945 W WAINWRIGHT DR #106, BOISE, ID 837131925 (Tel: 2083771131)

NPI Profile Active December 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2012

Registered at 4060 E CHINDEN BLVD, EAGLE, ID 836166481 (Tel: 2083771131)

📍
Updated Business Mailing Address December 04, 2012

Registered at 4060 E CHINDEN BLVD, EAGLE, ID 836166481 (Tel: 2083771131)

👤
Provider Name / Credentials Updated December 04, 2012

Recorded as RAYDELL BOOTH, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2012

Psychologist (License #PSY211 in ID)

🟢
Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184661175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2006
Last Update: February 19, 2020
Sole Proprietor: Yes

Mailing Address

13945 W Wainwright Dr #106

Boise, ID 837131925

Phone: 2083771131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.