Dr. Michelle L Bourgeois, PHD
Psychologist in Boston, Massachusetts
1235750639- Practice location
- 150 S Huntington Ave, Boston, MA 02130-4817
- Phone
- 857-364-6938
- Fax
- —
- Last updated
- April 27, 2020
Michelle Lee Bourgeois is a Psychologist based in Boston, MA. Michelle Lee Bourgeois practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Michelle Lee Bourgeois is 1235750639. The current practice location address for Michelle Lee Bourgeois is 150 S Huntington Ave, Boston, MA 02130-4817 and can be reached out via phone at 857-364-6938.
Provider Profile Details
- NPI Number
- 1235750639
- Provider Name
- Michelle Lee Bourgeois
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 150 S Huntington Ave, Boston, MA 02130-4817
- Phone Number
- 857-364-6938
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 27, 2020
- Last Update Date
- April 27, 2020
- Certification Date
- April 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 S Huntington Ave
Boston, MA 02130-4817 - City
- Boston
- State
- Massachusetts
- Zip
- 02130-4817
- Phone Number
- 857-364-6938
Provider Business Mailing Address Details
- Address
- 18 Perkins Sq Apt 8
Jamaica Plain, MA 02130-1722 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-1722
- Phone Number
- 508-341-4824
License Information
- Taxonomy (1)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Taxonomy (2)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Taxonomy (3)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michelle L Bourgeois, PHD?
The NPI number of Dr. Michelle L Bourgeois, PHD is 1235750639. It was assigned on April 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Michelle L Bourgeois, PHD?
Dr. Michelle L Bourgeois, PHD is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Dr. Michelle L Bourgeois, PHD practice?
The practice location is 150 S Huntington Ave, Boston, MA 02130-4817. The office can be reached at 857-364-6938 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235750639 directly on the NPPES registry website.