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DR. SPENCER JENKINS BOOTH PSYD, HSPP
NPI 1730495813
Psychologist - Clinical in Fort Wayne, IN

Active since August 26, 2010PECOS Enrolled
9329 ILLINOIS RD, FORT WAYNE, IN 46804(260) 417-4885 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Spencer Jenkins Booth Psyd, Hspp NPPES

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

DR. SPENCER JENKINS BOOTH PSYD, HSPP (NPI 1730495813) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20041340A) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730495813
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SPENCER JENKINS BOOTHCredential: PSYD, HSPP
Location Address9329 ILLINOIS RDFort Wayne, IN 46804-5796
Mailing Address9329 Illinois RdFort Wayne, IN 46804-5796 · (260) 417-4885
Phone(260) 417-4885
Sole ProprietorNo
Enumeration DateAugust 26, 2010
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1730495813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X
9329 ILLINOIS RD, Fort Wayne, IN 46804
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer Jenkins Booth Psyd, Hspp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 6

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

SAM BOOTH M.A.
Counselor (Mental Health)
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 444-6045
MR. DAVID LEE KURTZ MSW, LSW
Social Worker
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 204-0001
PEOPLE AND PATHWAYS CONSULTING LLC
Community/Behavioral Health
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 204-0001
BOOTH & COMPANY, INC.
Psychologist (Clinical)
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 755-5896
JAY BASTIAN LLC
Social Worker (Clinical)
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 418-9653
JAY ALAN BASTIAN LCSW
Social Worker
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 418-9653

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 Spencer Booth's NPI number?

The NPI number for Spencer Booth is 1730495813. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Where is Spencer Booth located?

Spencer Booth practices at 9329 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 417-4885.

What is Spencer Booth's specialty?

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

Is Spencer Booth enrolled in Medicare?

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

What insurance does Spencer Booth accept?

Health plans from CareSource list Spencer Booth 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 Spencer Booth 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 22 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.