BOOTH & COMPANY
NPI 1679694327
Psychologist - Clinical in Fort Wayne, IN

Q: What is Booth & Company, Inc.'s NPI number?

The NPI number for Booth & Company, Inc. is 1679694327. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Booth & Company and Great Lakes Psychological Assessment.

Q: What is Booth & Company, Inc.'s specialty?

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

Active since April 02, 2007

9329 ILLINOIS RD, FORT WAYNE, IN 46804(260) 755-5896(260) 755-5927 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Booth & Company NPPES

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

BOOTH & COMPANY (NPI 1679694327) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since April 2007. The organization lists Spencer Jenkins Booth, President, as its authorized official.

NPPES Registry Identity

NPI1679694327

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBOOTH & COMPANY, INC.

Location Address9329 ILLINOIS RDFort Wayne, IN 46804-5796

Mailing Address9329 Illinois RdFort Wayne, IN 46804-5796 · (260) 755-5896 · Fax (260) 755-5927

Phone(260) 755-5896

Fax(260) 755-5927

Organization SubpartNo

Authorized OfficialSpencer Jenkins BoothPresident · (260) 417-4885

Enumeration DateApril 2, 2007

Last NPPES UpdateOctober 1, 2024

NPPES CertifiedOctober 1, 2024

✔ NPI 1679694327 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 IN · 20041340A

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.

9329 ILLINOIS RD, Fort Wayne, IN 46804

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Other Names 2

Doing Business AsBooth & Company

Doing Business AsGreat Lakes Psychological Assessment

Other Identifiers 1

Medicaid200311450IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Booth & Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Booth & Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Spencer Booth, PSYD, HSPP

Clinical Psychologist

NPI 1730495813

9329 ILLINOIS RD
Fort Wayne, IN 46804

(260) 417-4885

✔ PECOSSame address

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

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 Booth & Company, Inc.'s NPI number?

The NPI number for Booth & Company, Inc. is 1679694327. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Booth & Company and Great Lakes Psychological Assessment.

Where is Booth & Company, Inc. located?

Booth & Company, Inc. is located at 9329 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 755-5896.

What is Booth & Company, Inc.'s specialty?

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

Is Booth & Company, Inc. enrolled in Medicare?

Yes. Booth & Company, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Booth & Company, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Booth & Company, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Booth & Company, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Booth & Company, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Booth & Company, Inc. was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.