TARA ANGELA BOOTH (NPI# 1366919615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366919615 |
| Entity Type | Individual |
| Full Name | TARA ANGELA BOOTH |
| Other Name | TARA ANGELA LADUE |
| Practice Address |
1032 W Mountain Rd Queensbury NY 12804-8209 |
| Practice Telephone | 5182227165 |
| Mailing Telephone | 5182227165 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346315447 | Tara C Booth | Psychologist | 1675 Morena Blvd, Suite 100, San Diego, CA 92110-3703 | 2006-11-22 |
| Street Address |
1032 W MOUNTAIN RD |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1225338551 | Kim Renee Johnson | Counselor | 527 Bay Rd Ste 104, Queensbury, NY 12804-1430 | 2010-11-03 |
| 1326376807 | Janet Larsen Caldwell | Counselor | 56 Chestnut Ridge Rd, Queensbury, NY 12804-7316 | 2009-11-23 |
| 1992911754 | Susan J Montague | Counselor | 19 Elizabeth Ln, Queensbury, NY 12804-9157 | 2007-05-15 |
| 1518097054 | Colleen Baroudi | Counselor | 12 Buena Vista Ave, Queensbury, NY 12804-1229 | 2007-03-06 |
| 1164576278 | Lester John Engelbrecht | Counselor | 113 Meadowbrook Rd, Queensbury, NY 12804-5849 | 2007-01-23 |
| 1063514214 | Victoria Helen Agresta | Counselor | 123 Dixon Rd, Queensbury, NY 12804-2133 | 2006-09-01 |
| 1558971614 | Jordan Ann Marie Welch | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2020-08-04 |
| 1932741915 | Demi Iverson-searer | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2019-10-11 |
| 1649783630 | Adrienne Slayko | Counselor | 375 Bay Rd, Queensbury, NY 12804-3012 | 2017-11-13 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on TARA ANGELA BOOTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.