Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery Dean Booth, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1679371389

Avery Dean Booth, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Mesa, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1220 S Alma School Rd Ste 212
Mesa, AZ 85210-2087
Phone: (480) 613-8162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11100 N 115th St Apt 262, Scottsdale, AZ 85259-4009 — (208) 640-1015

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 312934 (AZ)

Record details

NPI number1679371389
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

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