1. Home
  2. Directory
  3. Florida
  4. Tarpon Springs
  5. Psychologist
  6. NPI Profile

JAMES R BOONE PH D PROFESSIONAL LLC
NPI 1982814893
Psychologist - Clinical in Tarpon Springs, FL

Active since May 23, 2007
2625 KEYSTONE RD, SUITE A-3, TARPON SPRINGS, FL 34688(727) 944-4600(727) 945-9800 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James R Boone Ph D Professional Llc NPPES

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

JAMES R BOONE PH D PROFESSIONAL LLC (NPI 1982814893) is a healthcare organization registered as a clinical in Tarpon Springs, Florida and active in the NPI registry since May 2007. The organization lists James Richardson Boone, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1982814893
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJAMES R BOONE PH D PROFESSIONAL LLC
Location Address2625 KEYSTONE RD, SUITE A-3Tarpon Springs, FL 34688-7436
Mailing Address2625 Keystone Rd, Suite A-3Tarpon Springs, FL 34688-7436 · (727) 944-4600 · Fax (727) 945-9800
Phone(727) 944-4600
Fax(727) 945-9800
Organization SubpartNo
Authorized OfficialJames Richardson BooneSole Member · (727) 944-4600
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 14, 2007
✔ NPI 1982814893 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 FL · PY04361
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.
2625 KEYSTONE RD, Tarpon Springs, FL 34688
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedK9389FL · Medicare Corporate Number

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James R Boone Ph D Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20060210000285Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to James R Boone Ph D Professional LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Boone, PH D
Clinical Psychologist
NPI 1912114356
2625 KEYSTONE RD SUITE A-3
Tarpon Springs, FL 34688
(727) 944-4600
✔ PECOS✔ Accepts MedicareSame 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 James R Boone Ph D Professional LLC's NPI number?

The NPI number for James R Boone Ph D Professional LLC is 1982814893. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is James R Boone Ph D Professional LLC located?

James R Boone Ph D Professional LLC is located at 2625 Keystone Rd Suite A-3, Tarpon Springs, FL 34688. The listed phone number is (727) 944-4600.

What is James R Boone Ph D Professional LLC's specialty?

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

Is James R Boone Ph D Professional LLC enrolled in Medicare?

Yes. James R Boone Ph D Professional LLC is registered in the Medicare PECOS enrollment system.

When is James R Boone Ph D Professional LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through James R Boone Ph D Professional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to James R Boone Ph D Professional LLC. 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.

When was this NPI record last updated?

The NPPES record for James R Boone Ph D Professional LLC was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.