RAYDELL BOOTH PH.D.
NPI 1184661175
Psychologist in Eagle, ID

Active since May 31, 2006
4060 E CHINDEN BLVD, EAGLE, ID 83616(208) 377-1131(208) 377-1171 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raydell Booth Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYDELL BOOTH PH.D. (NPI 1184661175) is an individual psychologist in Eagle, Idaho, licensed in Idaho (PSY211) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1184661175
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRAYDELL BOOTHCredential: PH.D.
Location Address4060 E CHINDEN BLVDEagle, ID 83616-6481
Mailing Address13945 W Wainwright Dr #106Boise, ID 83713-1925 · (208) 377-1131 · Fax (208) 377-1171
Fax(208) 377-1171
Sole ProprietorYes
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 19, 2020
NPI 1184661175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ID · PSY211
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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4060 E CHINDEN BLVD, Eagle, ID 83616

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4060 E CHINDEN BLVD
EAGLE, ID 83616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raydell Booth's NPI number?

The NPI number for Raydell Booth is 1184661175. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Raydell Booth located?

Raydell Booth practices at 4060 E Chinden Blvd, Eagle, ID 83616. The listed phone number is (208) 377-1131.

What is Raydell Booth's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Raydell Booth was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.