Derek Booth
Nurse Practitioner - Psych/Mental Health | 11+ years Exp
415 N 26th St, Suite 201, Lafayette
Indiana, 47904-2895
765-446-6577
Derek Booth is a Lafayette, Indiana based nurse practitioner with 11 years of experience in Psych/Mental Health. He completed his graduation from Indiana University School Of Medicine in 2014. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derek Booth is 71005314B for Psych/Mental Health in Indiana. His current practice location is 415 N 26th St, Suite 201, Lafayette. Patients can reach him at 765-446-6577 with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1568852986.
Derek Booth provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Derek Booth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Derek Booth |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Experience: | 11+ years |
| Medical School Attended: | Indiana University School Of Medicine |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 415 N 26th St, Suite 201, Lafayette,
Indiana, 47904-2895 |
| Phone: | 765-446-6577 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8022335413 |
| Enrollment ID: | I20150324000521 |
| NPI Number: | 1568852986 |
| NPI Enumeration Date: | 24 Jan, 2015 |
| NPI Last Update On: | 24 Jan, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Booth are as mentioned below.
| License Number | Specialization | State | Status | |
| 71005314B | Psych/Mental Health | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Derek Booth is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| North Clark Medical Group Llc (3971879354) | 18 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Derek Booth
415 N 26th St, Suite 201
Lafayette, Indiana |
| Zip: | 47904-2895 |
Patients can reach Derek Booth at
415 N 26th St, Suite 201, Lafayette, Indiana or can
call to book an appointment on 765-446-6577.
Comments/ Reviews:
Patients can read all the reviews posted for Derek Booth below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Derek Booth. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.