Dr Jared William Boot-haury, PSYD is a
Psychologist - Clinical based in San Francisco, California. Dr Jared William Boot-haury is licensed to practice in California (license number PSY35161) and his current practice location is
351 King St Unit 122, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(734) 604-0920.
NPI number for Dr Jared William Boot-haury is 1447809777 and his current mailing address is 351 King St Unit 122, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447809777.
Healthcare Provider's Profile
| Full Name | Dr Jared William Boot-haury |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 351 King St Unit 122, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447809777
- Provider Enumeration Date: 09/09/2019
- Last Update Date: 05/04/2025
Medical Identifiers
Medical identifiers for Dr Jared William Boot-haury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447809777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6301018026 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 5112-57 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY35161 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jared William Boot-haury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jared William Boot-haury, PSYD
351 King St Unit 122,
San Francisco, CA 94158-1709
Ph: (734) 604-0920 | Dr Jared William Boot-haury, PSYD
351 King St Unit 122,
San Francisco, CA 94158-1709
Ph: (734) 604-0920 |
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