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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0004X |
Psychologist Specialization: Health |
PS1146 | ME | Behavioral Health & Social Service Providers |
Street Address |
905 UNION ST STE 9 |
City | BANGOR |
State | ME |
Zip Code | 04401-3050 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 04401 |
Taxonomy Code | 103TH0004X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health |
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] |
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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 |
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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.