Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285651968 Individual Practitioner Female Practitioner

Dr. Eileen M Booth , PhD

Psychologist - Clinical • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Eileen Booth, PhD is a certified Psychologist - Clinical practicing in Provo, UT. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Booth delivers high-quality medical care to the local community at 395 W COUGAR BLVD STE 601.

Dr. Booth is affiliated with Ihc Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation, health and behavior assessment each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

395 W Cougar Blvd Ste 601

Provo, UT 846043331

Telephone 8013577525
Fax 8013577191
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1871847434

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +21.1 yrs vs City Avg
City Avg: 15.9 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
61 Specialists

Practicing in Provo, UT (451 Statewide)

Telehealth Adoption Rate
9.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Booth (37 Years) 37 Yrs
Provo Specialty Average (15.9 Years) 15.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
96 17 $330.17 $146.87
90791 Psychiatric diagnostic evaluation
15 15 $387.53 $166.41

Medical Specialties & State Licenses

CMS Verified: 2026-06-15
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License UT 116525-2501

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 846043331

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Secondary Practice Locations

1034 N 500 W

Provo, UT 846043380

Phone: 8013577850

Practice Associates & Co-Workers

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

20 Associated Practitioners
Cheryl Cozzens , LCSW

Social Worker - Clinical

NPI 1033136460

Licensed Clinical Social Worker

Dr. Aaron Sanders , DO

Psychiatry & Neurology - Psychiatry

NPI 1043779036

Doctor of Osteopathic Medicine (D.O.)

Newton Bryson , LCSW

Social Worker - Clinical

NPI 1063439495

Licensed Clinical Social Worker

Dr. Matthew Torbenson , MD

Psychiatry & Neurology - Psychiatry

NPI 1104455724

Doctor of Medicine (M.D.)

Matthew Swenson

Psychiatry & Neurology - Psychiatry

NPI 1134355001
Tiffani Petersen , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255968681

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 15, 2026

Registered at 395 W COUGAR BLVD STE 601, PROVO, UT 846043331 (Tel: 8013577525)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2026

Psychologist (License #116525-2501 in UT)

NPI Profile Active January 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2013

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577850)

📍
Updated Business Mailing Address January 18, 2013

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8013577850)

👤
Provider Name / Credentials Updated January 18, 2013

Recorded as EILEEN BOOTH, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2013

Psychologist (License #1165252501 in UT)

🟢
Initial NPI Registration & Enumeration July 17, 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: 1285651968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: June 15, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8013577525

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.