Booth & Company, Inc.
NPI 1679694327 · Clinical Psychologist · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Booth & Company, Inc. is a Clinical Psychologist organization in Fort Wayne, IN (NPI 1679694327).
Provider details
- NPI number
- 1679694327
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Spencer Booth, President(260) 417-4885
- License
- 20041340A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Booth & Company
- Doing business as
- Booth & Company
- Doing business as
- Great Lakes Psychological Assessment
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Frequently asked questions
- What is Booth & Company, Inc.'s NPI number?
- Booth & Company, Inc.'s National Provider Identifier (NPI) is 1679694327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Booth & Company, Inc.?
- Booth & Company, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Booth & Company, Inc. located?
- Booth & Company, Inc.'s practice location on file with NPPES is 9329 Illinois Rd, Fort Wayne, IN 46804-5796.
- What is Booth & Company, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Booth & Company, Inc. is (260) 755-5896.
- Does Booth & Company, Inc. accept Medicare?
- Booth & Company, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Booth & Company, Inc.?
- The authorized official listed on Booth & Company, Inc.'s NPPES record is Spencer Booth, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Booth & Company, Inc.'s NPI active?
- Yes — Booth & Company, Inc.'s NPI (1679694327) is active in the NPPES registry as of the last update on 2024-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.