TARA C BOOTH PSY. D
NPI 1346315447
Psychologist in San Diego, CA

Active since November 22, 2006
1675 MORENA BLVD, SUITE 100, SAN DIEGO, CA 92110(619) 275-8000(619) 275-8005 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara C Booth Psy. D NPPES

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

TARA C BOOTH PSY. D (NPI 1346315447) is an individual psychologist in San Diego, California, licensed in California (PSY19590) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1346315447
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTARA C BOOTHCredential: PSY. D
Location Address1675 MORENA BLVD, SUITE 100San Diego, CA 92110-3703
Mailing Address1675 Morena Blvd, Suite 100San Diego, CA 92110-3703 · (619) 275-8000 · Fax (619) 275-8005
Fax(619) 275-8005
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateNovember 8, 2013
NPI 1346315447 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 CA · PSY19590
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.
1675 MORENA BLVD, San Diego, CA 92110

Other Identifiers 3

Medicare ID-Type Unspecified1512013461CA
Medicaid1512013461CA
Medicare UPIN1512013461CA

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.

Licensed Vocational Nurse
1675 MORENA BLVD
SAN DIEGO, CA 92110
Licensed Vocational Nurse
1675 MORENA BLVD
SAN DIEGO, CA 92110
Licensed Vocational Nurse
1675 MORENA BLVD, STE 100
SAN DIEGO, CA 92110
Counselor
1675 MORENA BLVD
SAN DIEGO, CA 92110
Licensed Psychiatric Technician
1675 MORENA BLVD
SAN DIEGO, CA 92110
Peer Specialist
1675 MORENA BLVD
SAN DIEGO, CA 92110
Case Manager/Care Coordinator
1675 MORENA BLVD, SUITE# 100
SAN DIEGO, CA 92110
Licensed Psychiatric Technician
1675 MORENA BLVD
SAN DIEGO, CA 92110

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 Tara Booth's NPI number?

The NPI number for Tara Booth is 1346315447. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Tara Booth located?

Tara Booth practices at 1675 Morena Blvd Suite 100, San Diego, CA 92110. The listed phone number is (619) 275-8000.

What is Tara 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 Tara Booth was last updated on November 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.