Jason Boothe is a Psychologist in Austin, Texas. Jason Boothe practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jason Boothe is 1538162722. The last update date is 2007-07-08.
Jason Boothe's current location address is 4310 James Casey St, Austin, Texas. You can contact this provider via phone number 5124167246 and fax number 5124166791. The mailing address for Jason Boothe is 4310 James Casey St, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Boothe |
|---|---|
| Address | 4310 James Casey St, Austin, Texas |
| Phone Number | 5124167246 |
| Fax Number | 5124166791 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1538162722 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4310 James Casey St |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 7874511200 |
| Phone Number | 5124167246 |
| Fax Number | 5124166791 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 32415 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1039619 | BLUELINK | ||
| 8581BH | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jason Boothe by the Centers for Medicare & Medicaid Services?
The Jason Boothe has been assigned the NPI (National Provider Identifier) 1538162722 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jason Boothe is physically located?
The Jason Boothe is physically situated at the following address: 4310 James Casey St, Austin, TX, 7874511200.
What is Jason Boothe's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Boothe is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Jason Boothe receive its 1538162722 assignment from the Centers for Medicare & Medicaid Services?
The Jason Boothe was assigned its 1538162722 by the Centers for Medicare & Medicaid Services on 2005-05-23.
As of what date were the details related to Jason Boothe most recently updated or revised?
The information pertaining to Jason Boothe, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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