MATTHEW BOOTH CRNP
NPI 1053162735
Nurse Practitioner - Psychiatric/Mental Health in Kingston, PA

Q: What is Matthew Booth's NPI number?

The NPI number for Matthew Booth is 1053162735. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Q: What is Matthew Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Booth was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2024

480 PIERCE ST STE 320, KINGSTON, PA 18704(570) 479-1627 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Booth Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BOOTH CRNP (NPI 1053162735) is an individual psychiatric/mental health provider in Kingston, Pennsylvania, licensed in Pennsylvania (SP029539) and active in the NPI registry since March 2024. He maintains a secondary practice location in Edwardsville.

NPPES Registry Identity

NPI1053162735

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMATTHEW BOOTHCredential: CRNP

Location Address480 PIERCE ST STE 320Kingston, PA 18704-5512

Mailing Address510 Isabelle Ct Apt BEdwardsville, PA 18704-5901 · (570) 479-1627

Phone(570) 479-1627

Sole ProprietorNo

Enumeration DateMarch 29, 2024

NPPES CertifiedFebruary 3, 2024

✔ NPI 1053162735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP029539

480 PIERCE ST STE 320, Kingston, PA 18704

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Secondary Practice Location 1

Location 1510 Isabelle Ct Apt BEdwardsville, PA 18704-5901 · Phone (570) 479-1627

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANE JESSE MD

Psychiatry & Neurology (Psychiatry)

480 PIERCE ST STE 320
KINGSTON, PA 18704

Luzerne County (570) 690-5159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Booth's NPI number?

The NPI number for Matthew Booth is 1053162735. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Matthew Booth located?

Matthew Booth practices at 480 Pierce St Ste 320, Kingston, PA 18704. The listed phone number is (570) 479-1627.

What is Matthew Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Matthew Booth was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.