AVERY DEAN BOOTH PMHNP-BC
NPI 1679371389
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since March 06, 2025
1220 S ALMA SCHOOL RD STE 212, MESA, AZ 85210(480) 613-8162 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avery Dean Booth Pmhnp-bc NPPES

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

AVERY DEAN BOOTH PMHNP-BC (NPI 1679371389) is an individual psychiatric/mental health provider in Mesa, Arizona, licensed in Arizona (312934) and active in the NPI registry since March 2025. He maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1679371389
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameAVERY DEAN BOOTHCredential: PMHNP-BC
Location Address1220 S ALMA SCHOOL RD STE 212Mesa, AZ 85210-2087
Mailing Address11100 N 115th St Apt 262Scottsdale, AZ 85259-4009 · (208) 640-1015
Sole ProprietorNo
Enumeration DateMarch 6, 2025
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1679371389 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 AZ · 312934
1220 S ALMA SCHOOL RD STE 212, Mesa, AZ 85210

Secondary Practice Location 1

Location 111100 N 115th St Apt 262Scottsdale, AZ 85259-4009 · Phone (208) 640-1015

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
1220 S ALMA SCHOOL RD STE 212
MESA, AZ 85210
Nurse Practitioner (Family)
1220 S ALMA SCHOOL RD STE 212
MESA, AZ 85210

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 Avery Booth's NPI number?

The NPI number for Avery Booth is 1679371389. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Avery Booth located?

Avery Booth practices at 1220 S Alma School Rd Ste 212, Mesa, AZ 85210. The listed phone number is (480) 613-8162.

What is Avery Booth's specialty?

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

What insurance does Avery Booth accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Avery Booth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avery Booth was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.