DR. NINA E BOULARD


Address: 905 Union St, Ste 9, Bangor, ME 04401-3050
Phone: 2079734037

DR. NINA E BOULARD (NPI# 1639429624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639429624
Entity Type Individual
Full Name DR. NINA E BOULARD
Credential PH.D.
Practice Address 905 Union St
Ste 9
Bangor
ME 04401-3050
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079734037
Practice Fax Number 2079735845
Mailing Telephone 2079734037
Mailing Fax Number 2079735845
Enumeration Date 2012-09-17
Last Update Date 2020-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0004X Psychologist
Specialization: Health
PS1146 ME Behavioral Health & Social Service Providers

Office Location

Street Address 905 UNION ST
STE 9
City BANGOR
State ME
Zip Code 04401-3050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437197001 Anthony Podraza Clinical Neuropsychologist 905 Union St, Suite 9, Bangor, ME 04401-3050 2006-06-03
1205373578 Mikiko Demura Marzilli Dietitian, Registered 905 Union St, Suite 11, Bangor, ME 04401-3050 2017-01-25
1063969202 Agnieszka Karolina Serwik Kronholm Psychologist 905 Union St, 9, Bangor, ME 04401-3050 2016-09-06
1952771594 Danielle Katharine Morgan Audiologist 905 Union St, Suite 10, Bangor, ME 04401-3050 2015-09-25
1073935201 Jeannine Marie Campbell Audiologist 905 Union St, Suite 10, Bangor, ME 04401-3050 2014-01-07
1922352152 Valerie Nicole Curtis Dietitian, Registered 905 Union St, 11, Bangor, ME 04401-3050 2012-11-09
1497904254 Leanne Joy Carey Registered Nurse 905 Union St, Suite 11, Bangor, ME 04401-3050 2008-09-16
1083806525 Alexius Enrique Garcia Sandoval Physical Medicine & Rehabilitation 905 Union St, Suite 9, Bangor, ME 04401-3050 2007-08-17
1740305697 Linda A. Johnson Registered Nurse 905 Union St, Suite 11, Bangor, ME 04401-3050 2007-03-20
1063434827 Louise Marie Pelletier Registered Nurse 905 Union St, Suite 11, Bangor, ME 04401-3050 2006-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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Taxonomy Information

Taxonomy Code 103TH0004X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health

Taxonomy Definition

The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care.
Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568704062 Hart Foundation Inc Psychologist 87 Woodlands Dr, Falmouth, ME 04105-1189 2013-03-22
1225389398 Helen R Smart-perille Psychologist 1 Va Ctr # 116b, Augusta, ME 04330-6719 2012-09-28
1497904569 Gregory W. Nevens, Ed.d Pa Psychologist 222 Auburn St, Suite 102, Portland, ME 04103-6002 2008-09-15

Competitor

Search similar providers

City BANGOR
Zip Code 04401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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