DR. WILLIAM D BOOTH (NPI# 1801907761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801907761 |
Entity Type | Individual |
Full Name | DR. WILLIAM D BOOTH |
Credential | PHD |
Practice Address |
2400 Hospital Rd Pain Clinic (117) Tuskegee AL 36083-5001 |
Mailing Address |
1526 Benedict Pl Auburn AL 36832-6763 |
Practice Telephone | 3347270550 |
Practice Fax Number | 3347253074 |
Mailing Telephone | 3347270550 |
Mailing Fax Number | 3347253074 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2010-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
778 | AL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | STATE PSYCHOOGIST LISCENS | 778 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811142078 | William Verdell Booth | Family Medicine | 10631 Big Canoe, Big Canoe, GA 30143-5131 | 2008-12-01 |
1720182728 | William Dyer Booth | Dentist | 1227 W Missouri St, Buffalo, MO 65622-0948 | 2006-09-11 |
1417966730 | William C. Booth | Chiropractor | 1621 W Park Row Dr, Arlington, TX 76013-3502 | 2006-08-05 |
1104477538 | William Booth | Counselor | 4201 S Congress Ave Ste 202, Austin, TX 78745-1156 | 2019-09-26 |
1972093219 | William Bedford Booth | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115-6105 | 2018-05-12 |
1386896710 | William J Booth | Physician Assistant | 111 Turner Rd, Dayton, OH 45415-3617 | 2008-10-16 |
1861401218 | William E Booth | Physical Therapist | 400 Keisler Dr, Cary, NC 27511-7069 | 2006-08-05 |
1104841113 | William C. Booth Jr. | Physician Assistant | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-12 |
Street Address |
2400 HOSPITAL RD PAIN CLINIC (117) |
City | TUSKEGEE |
State | AL |
Zip Code | 36083-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528068582 | Adrian Bernard Boone | Physician Assistant | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2005-07-29 |
1366043226 | Tiffany Sanquits Fields | Registered Nurse | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-11-05 |
1023615432 | Shalisa O'brien Grantham | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-10-08 |
1801401278 | Devan Smiley | Pharmacy Technician | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-09-12 |
1821603341 | Madason Mccurdy | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-09-11 |
1417561978 | Xavier Markies Smith | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5002 | 2020-09-02 |
1295344273 | Terrence Brown | Pharmacist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-27 |
1962010801 | Theresa L Thomas | Respiratory Therapist, Registered | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-16 |
1407464340 | Almetria Jackson | Respiratory Therapist, Registered | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-16 |
1801404975 | Debra Rayanne Campbell | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
1861638025 | Andrea Darmyka Steen | Social Worker | 2400 Hospital Road, Tuskegee, AL 36083 | 2008-12-18 |
1215078159 | Central Alabama Comprehensive Health Inc | Clinic/Center | 203 West Lee Street, Tuskegee, AL 36083 | 2007-02-12 |
Find all providers in zip 36083 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366054322 | Patrice Carter | Psychologist | 122 Hammond Rd, Harvest, AL 35749-9529 | 2020-08-20 |
1326697384 | Ambria Young | Psychologist | 6019 Belgrade Dr Nw, Huntsville, AL 35810-1503 | 2019-09-11 |
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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.