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DR. MARY ANN BOOTH MD
NPI 1235268012
Psychiatry & Neurology - Child & Adolescent Psychiatry in Salisbury, MD

Active since March 05, 2007PECOS Enrolled
1104 HEALTHWAY DR, SALISBURY, MD 21804(410) 219-5483(410) 219-5486 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2022, Oct 25, 2022, Jun 15, 2018 (3 updates tracked since 2018).

About Dr. Mary Ann Booth Md NPPES

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

DR. MARY ANN BOOTH MD (NPI 1235268012) is an individual child & adolescent psychiatry provider in Salisbury, Maryland, licensed in Maryland (D0068849) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235268012
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MARY ANN BOOTHCredential: MD
Location Address1104 HEALTHWAY DRSalisbury, MD 21804-4469
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 219-5483
Fax(410) 219-5486
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1235268012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D0068849
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1104 HEALTHWAY DR, Salisbury, MD 21804
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Other Identifiers 1

Medicaid119591300MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ann Booth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Booth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Three Lower Counties Community Services, Inc.
12 mi
Federally Qualified Health Center (FQHC)
12145 ELM STREET
Princess Anne, MD 21853
  • Reassigned Medicare billing, Maryland enrollment
  • 121 clinicians in this Medicare group
NPI 1154354744 (410) 651-5135
Seton Health Corporation Of Southeastern Michigan
486 mi
Family Medicine
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 111 clinicians in this Medicare group
NPI 1598177065 (248) 680-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MR. MARK STEPHEN SIMULIS LCSW-C
Social Worker (Clinical)
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MS. KRISTY REGINA PECK HILL CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MR. YASHAWN RONE CUFFEE I
Counselor
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MS. BRENDYN RAE VANDERSLICE LGPC
Counselor
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MS. ELLEN FRANCES COOK LCPC
Counselor (Professional)
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MS. SYDNEY PAIGE KOTEFF LMSW
Social Worker
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MS. OLIVIA HELEN WACKETT LCSW-C
Social Worker (Clinical)
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483
MR. ROBERTO EZEQUIEL DONATI LCPC
Counselor (Professional)
1104 HEALTHWAY DR
SALISBURY, MD 21804
Wicomico County (410) 219-5483

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 Mary Booth's NPI number?

The NPI number for Mary Booth is 1235268012. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Mary Booth located?

Mary Booth practices at 1104 Healthway Dr, Salisbury, MD 21804. The listed phone number is (410) 219-5483.

What is Mary Booth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mary Booth enrolled in Medicare?

Yes. Mary Booth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Booth reassigns Medicare benefits to 2 organizations: Three Lower Counties Community Services, Inc. (Princess Anne, MD) and Seton Health Corporation Of Southeastern Michigan (Clinton Township, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Booth was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.