Patrick Boursiquot LCSW Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW5848 Issued in FL

Legal business name

PATRICK BOURSIQUOT LCSW INC

Practice address

951 Sansburys Way
Suite 206
West Palm Beach, FL 33411-3619

Phone

(561) 337-3647

Fax

(561) 337-3648

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Boursiquot, LCSWNPI 1952524258

Title

President

Phone

(561) 337-3647

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Boursiquot, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1952524258
  Authorized official Same address or phone

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1205131786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SANSBURYS WAY",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113619",
            "telephone_number": "561-337-3647",
            "fax_number": "561-337-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SANSBURYS WAY",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113619",
            "telephone_number": "561-337-3647",
            "fax_number": "561-337-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK BOURSIQUOT LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "BOURSIQUOT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-337-3647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path of Life Assisted Living of Palm Beach LLC
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• Michael Patipa, M.D.
• Great Patoombal, ARNP-BC
• Patricia E Morrison Counseling Inc (Patricia E Morrison, LCSW)
• Patrick Dennis DC PA
• Patriots Services LLC (Florida Vitality)
• Latonya Deshon Patterson, PMHNP-BC, MSN/ED
• Marquevia Patterson
• Tamara Patterson

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.