Individual provider Active NPI

Kent Booher, M.D.

  • Child & Adolescent Psychiatry Physician
  • Kaneohe, HI
National Provider Identifier
1477675478
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD 12327 Issued in HI
Practice address
45-710 Keaahala Rd
Hawaii State Hospital
Kaneohe, HI 96744-3528
Phone
(808) 247-2191
Fax
(808) 236-8337
NPI assigned
Apr 3, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-12327 HI
Child & Adolescent Psychiatry Physician 2084P0804X MD 12327 HI Primary

Addresses

Primary practice location

45-710 Keaahala Rd
Hawaii State Hospital
Kaneohe, HI 96744-3528

Mailing address

45-710 Keaahala Rd
Hawaii State Hospital
Kaneohe, HI 96744-3528
Phone (808) 247-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-12327HIMDPsychiatry Physician
MD 12327HIMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477675478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-710 KEAAHALA RD",
            "address_2": "HAWAII STATE HOSPITAL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443528",
            "telephone_number": "808-247-2191",
            "fax_number": "808-236-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-710 KEAAHALA RD",
            "address_2": "HAWAII STATE HOSPITAL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443528",
            "telephone_number": "808-247-2191",
            "fax_number": "808-236-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-12327",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD 12327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.