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DR. JARED WILLIAM BOOT-HAURY PSYD
NPI 1447809777
Psychologist - Clinical in San Francisco, CA

Active since September 09, 2019PECOS Enrolled
351 KING ST UNIT 122, SAN FRANCISCO, CA 94158(734) 604-0920 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Oct 14, 2023, Sep 9, 2019 (3 updates tracked since 2019).

About Dr. Jared William Boot-haury Psyd NPPES

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

DR. JARED WILLIAM BOOT-HAURY PSYD (NPI 1447809777) is an individual clinical provider in San Francisco, California, licensed in California (PSY35161) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447809777
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JARED WILLIAM BOOT-HAURYCredential: PSYD
Location Address351 KING ST UNIT 122San Francisco, CA 94158-1709
Mailing Address351 King St Unit 122San Francisco, CA 94158-1709 · (734) 604-0920
Phone(734) 604-0920
Sole ProprietorYes
Enumeration DateSeptember 9, 2019
Last NPPES UpdateMay 4, 20253 updates tracked since enumeration
NPPES CertifiedMay 4, 2025
✔ NPI 1447809777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · PSY35161✔ Licensed in WI · 5112-57
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6301018026 (MI)
351 KING ST UNIT 122, San Francisco, CA 94158
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared William Boot-haury Psyd 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 Reassignment

Medicare enrollment records show Jared Boot-haury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2.6 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94158 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Jared Boot-haury's NPI number?

The NPI number for Jared Boot-haury is 1447809777. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Jared Boot-haury located?

Jared Boot-haury practices at 351 King St Unit 122, San Francisco, CA 94158. The listed phone number is (734) 604-0920.

What is Jared Boot-haury's specialty?

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

Is Jared Boot-haury enrolled in Medicare?

Yes. Jared Boot-haury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Boot-haury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Boot-haury reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Jared Boot-haury'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 Jared Boot-haury was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.