Spencer Booth, PSYD, HSPP
NPI 1730495813 · Clinical Psychologist · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spencer Booth, PSYD, HSPP is a Clinical Psychologist provider in Fort Wayne, IN (NPI 1730495813).
Provider details
- NPI number
- 1730495813
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, HSPP
- Sex
- Male
- Sole proprietor
- No
- License
- 20041340A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
15 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
Registry dates
- Enumerated
- 2010-08-26
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Frequently asked questions
- What is Spencer Booth's NPI number?
- Spencer Booth's National Provider Identifier (NPI) is 1730495813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Spencer Booth's specialty?
- Spencer Booth is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Spencer Booth located?
- Spencer Booth's practice location on file with NPPES is 9329 Illinois Rd, Fort Wayne, IN 46804-5796.
- What is Spencer Booth's phone number?
- The practice phone number listed in the NPPES registry for Spencer Booth is (260) 417-4885.
- Does Spencer Booth accept Medicare?
- Spencer Booth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Spencer Booth's NPI active?
- Yes — Spencer Booth's NPI (1730495813) 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.