EILEEN M BOOTH (PHD) – Psychologist, NPI 1285651968

EILEEN M BOOTH (PHD) is a healthcare provider. based in Salt lake city, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 1165252501 (UT). The NPI Number for EILEEN M BOOTH (PHD) is 1285651968

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN M BOOTH (PHD)
NPI
1285651968
Phone
(801) 357-7850
Address
PO BOX 27128
Enumeration Date
17 July 2006
Last Update Date
18 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
0648250597
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20040722000226
Address ID
UT846043331PR395XXBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

235 CLINICAL PSYCHOLOGIST in UT

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Provider Addresses for EILEEN M BOOTH (PHD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 357-7850

    Type: Mailing

  • Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846043380

    Phone: (801) 357-7850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040722000226IClinical PsychologistUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour8726$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

Is EILEEN M BOOTH (PHD) listed with a National Provider Identifier?
Yes — EILEEN M BOOTH (PHD) has NPI 1285651968 on file in the registry.
Is EILEEN M BOOTH (PHD) shown as active in public data?
Registry records indicate EILEEN M BOOTH (PHD) maintains an active NPI.
What area of care is associated with EILEEN M BOOTH (PHD)?
EILEEN M BOOTH (PHD)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with EILEEN M BOOTH (PHD)?
Directory geography for EILEEN M BOOTH (PHD) centers on Salt Lake City, Utah.
Can I trust this NPI listing for EILEEN M BOOTH (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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