Brianna Boulanger, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Londonderry, NH
NPI 1013426048 · NPPES record last updated Jan 5, 2026
Key facts
- NPI
- 1013426048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 074103-23 (NH)
- Practice address
- 13 Orchard View Dr Unit 6
Londonderry, NH 03053-3456 - Phone
- (603) 473-4451
- Fax
- (603) 584-4822
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Resonance Mental Health LLC
Practice addresses (Care Compare)
184 Mammoth Rd
Unit 4
Londonderry, NH 03053-3254
Phone (603) 702-5591
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230201000493 | NH | Practitioner - Nurse Practitioner | 3971974825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074103-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resonance Mental Health, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Care Counseling Services LLC | Past |
Accepting new patients | |
| Care Institute of New England | Past |
Accepting new patients | |
| Progressive Psychiatric Services, PLLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
184 Mammoth Rd
Unit 4
Londonderry, NH 03053
Phone (603) 473-4451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 074103-23 | NH | Yes |
Addresses
Primary practice location
13 Orchard View Dr Unit 6
Londonderry, NH 03053-3456
Mailing address
13 Orchard View Dr Unit 6
Londonderry, NH 03053-3456
Phone (603) 473-4451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3139067 | Medicaid | NH |
Other providers in Londonderry, NH
- Kathy S. Bolgatz
- Scott Christopher Bonneau Jr.
- Nicole Pauline Bouchard
- Raina Louise Bouchard
- Alyssa Boudreau
- Andrea Bourke
- Jennifer Branson
- Sarah E Breau
- Brennan Family Wellness LLC
- Bresnahan & Ball Counseling Services
All providers in Londonderry, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.