DR. BRET A BOOTH


Address: 1540 Sunday Dr, Suite 200, Raleigh, NC 27607-6000
Phone: 9198599040

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1540 SUNDAY DR
SUITE 200
City RALEIGH
State NC
Zip Code 27607-6000

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City RALEIGH
Zip Code 27607

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Dataset Information

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.

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