Individual provider

Jared Boot-haury, PSYD

Clinical Psychologist Mental Health Counselor Medicare enrolled

Jared Boot-haury, PSYD is a Clinical Psychologist in San Francisco, CA, registered under NPI 1447809777. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 351 KING ST UNIT 122, San Francisco, CA 94158. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

351 KING ST UNIT 122, San Francisco, CA 94158 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY35161 CA Clinical Psychologist primary
6301018026 MI Mental Health Counselor
5112-57 WI Clinical Psychologist

Licences are recorded in 3 states: CA, MI, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
1456861509
Enrollment ID
I20250609001891

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, Michigan and Wisconsin. The practice address on file is in San Francisco, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
PSY35161
Specialty
Clinical Psychologist
Verify with the CA board →
MI Michigan
Licence
6301018026
Specialty
Mental Health Counselor
Verify with the MI board →
WI Wisconsin
Licence
5112-57
Specialty
Clinical Psychologist
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical PSY35161 CA primary
101YM0800X Mental Health Counselor Mental Health 6301018026 MI
103TC0700X Clinical Psychologist Clinical 5112-57 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1447809777 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 9, 2019
Last updatedMay 4, 2025
StatusActive
Sole proprietorYes
CredentialPSYD
Practice address 351 KING ST UNIT 122
San Francisco, CA 94158
(734) 604-0920
This record was updated on May 4, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1447809777 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 4 7 8 0 9 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 8 7 7 0 9 7 5

Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1447809777?
NPI 1447809777 is the National Provider Identifier assigned to Jared Boot-haury, PSYD in San Francisco, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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 --…
How do I contact Jared Boot-haury, PSYD?
The phone number on file with NPPES is (734) 604-0920, last updated May 4, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jared Boot-haury, PSYD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1447809777 a valid number?
Yes. 1447809777 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.