P Praxis·MD
● Active Type 1 · Individual

Raydell Booth, PH.D.

Psychologist·Eagle, ID· NPI 1184661175 · Enumerated 2006 · 19 years on NPI
Booth is 1 of 1 psychologist providers in Eagle and 1 of 196 in Idaho.
NPI age
19 years
Enumerated 2006-05-31
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 196 active psychologist providers in Idaho.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
4060 E Chinden Blvd
Eagle, ID 836166481
📞 2083771131fax 2083771171
Mailing address
13945 W Wainwright Dr #106
Boise, ID 837131925
📞 2083771131fax 2083771171

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY211 taxonomy 103T00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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