Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EILEEN M BOOTH PHD
NPI 1285651968
Psychologist - Clinical in Provo, UT

Q: What is Eileen Booth's NPI number?

The NPI number for Eileen Booth is 1285651968. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Eileen Booth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Booth was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

395 W COUGAR BLVD STE 601, PROVO, UT 84604(801) 357-7525(801) 357-7191 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eileen M Booth Phd NPPES

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

EILEEN M BOOTH PHD (NPI 1285651968) is an individual clinical provider in Provo, Utah, licensed in Utah (116525-2501) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1285651968

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameEILEEN M BOOTHCredential: PHD

Location Address395 W COUGAR BLVD STE 601Provo, UT 84604-3331

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7525

Phone(801) 357-7525

Fax(801) 357-7191

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJuly 17, 2006

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1285651968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in UT · 116525-2501

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

395 W COUGAR BLVD STE 601, Provo, UT 84604

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Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3380 · Phone (801) 357-7850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eileen M Booth Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648250597

PECOS Enrollment IDI20040722000226

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

96 services17 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

AARON WILLIAM SANDERS DO

Psychiatry & Neurology (Psychiatry)