DR. BRET A BOOTH (NPI# 1578714846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578714846 |
Entity Type | Individual |
Full Name | DR. BRET A BOOTH |
Practice Address |
1540 Sunday Dr Suite 200 Raleigh NC 27607-6000 |
Mailing Address |
1502 W Nc Highway 54 Ste 103 Durham NC 27707-5572 |
Practice Telephone | 9198599040 |
Practice Fax Number | 9198599030 |
Mailing Telephone | 9198599040 |
Mailing Fax Number | 9198599030 |
Enumeration Date | 2008-10-06 |
Last Update Date | 2017-05-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 3637 | NC | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
3637 | NC | Behavioral Health & Social Service Providers |
Street Address |
1540 SUNDAY DR SUITE 200 |
City | RALEIGH |
State | NC |
Zip Code | 27607-6000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495905 | Dennis E Bullard | Specialist | 1540 Sunday Dr, Ste 214, Raleigh, NC 27607-6000 | 2005-05-23 |
1245758796 | Kristin N Jones | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2017-09-05 |
1639618226 | Reham Ghali | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2017-02-16 |
1134670193 | Triangle Neurosurgery | Specialist | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-10-14 |
1801243795 | Joan Swanson | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-05-20 |
1881052710 | Meghan Elizabeth Murphy | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-02-06 |
1619332152 | Candace Jackson Moody | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607 | 2015-12-29 |
1184013435 | Thinh Nguyen | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2015-01-09 |
1245650068 | Neeja Vivek Desai | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-19 |
1619395092 | Casey Victoria Farin | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134226384 | Meredith Ann Hickory | Clinical Neuropsychologist | Wakemed Rehabilitation, 3000 New Bern Ave, Raleigh, NC 27610 | 2006-09-20 |
1487665584 | Jennifer Rebekah Larson | Clinical Neuropsychologist | 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 | 2006-08-11 |
1528555604 | Selena Scott | Clinical Neuropsychologist | 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2018-04-15 |
1487180394 | Rochelle O'neil | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2017-05-11 |
1316322076 | Lynn Kakos | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-07-23 |
1447635396 | Courtney Brown | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-07-21 |
1962813691 | Paul Cohen | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2014-05-15 |
1659688059 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614 | 2010-09-07 |
1699910182 | Sharon Lynn Leuenberger | Clinical Neuropsychologist | 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 | 2008-12-11 |
1518158757 | The Neuropsychology Consultants, Pa | Clinical Neuropsychologist | 3824 Barrett Dr, Suite 101, Raleigh, NC 27609-7220 | 2007-08-05 |
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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.