Cindy Neka Boudreaux, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301509491 Issued in MI

Practice address

1 Ford PL
Detroit, MI 48202-3450

Phone

(313) 874-6677

Fax

(313) 876-3105

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cindy Neka Chidi Former name

Medicare fee-for-service enrollment

Enrolled in MI, IA, WI, GA, TX, NC6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone County Hospital Hospital, Boone, IA, CCN 161372
• Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337
• Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
• Munising Memorial Hospital Hospital, Munising, MI, CCN 231308
• Stoughton Hospital Hospital, Stoughton, WI, CCN 521343

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cchidi499849@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evizzit of Iowa Psychiatry PC

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1740841188

  GA, IA, MI, NC, Psychiatry, TX, WI

  Medicare reassignment Care Compare group NPD
• Sheridan Community Hospital

  • Emergency Medicine Physician
  • Sheridan, MI
  • NPI 1528090594

  MI

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munising Memorial Hospital Association

  • Critical Access Hospital
  • Munising, MI
  • NPI 1417035536

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
  • NPI 1235248071

  Hospital

  Care Compare affiliation
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225

  Hospital

  Care Compare affiliation
• Boone County Hospital

  • Primary Care Clinic/Center
  • Boone, IA
  • NPI 1942664602

  Hospital

  Care Compare affiliation
• Elbert Memorial Hospital

  • Critical Access Hospital
  • Elberton, GA
  • NPI 1669488250

  Hospital

  Care Compare affiliation
• Stoughton Hospital Association

  • Urgent Care Clinic/Center
  • McFarland, WI
  • NPI 1477146082

  Hospital

  Care Compare affiliation
• Stoughton Hospital Association

  • Critical Access Hospital
  • Stoughton, WI
  • NPI 1679558647

  Hospital

  Care Compare affiliation
• Stoughton Hospital Association

  • Urgent Care Clinic/Center
  • Cottage Grove, WI
  • NPI 1811733066

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1356801302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-6677",
            "fax_number": "313-876-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Stetson Street",
            "address_2": "Suite 3200",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452670559",
            "country_code": "US",
            "telephone_number": "513-558-5190",
            "fax_number": "513-558-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "CINDY",
        "middle_name": "NEKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301509491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "CHIDI",
            "middle_name": "NEKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Exa Boswell
• Botsford General Hospital
• Mark Steven Bott, RN
• Ralphe Bou Chebl, M.D.
• Alison Tisack Boucher, M.D.
• Renee Bouey, PH.D.
• Jose Antonio Bouffard, M.D.
• Shelly Lauren Bouie, RN
• Spyridon Boukouris, M.D.
• Jamila B Boulaalam, DDS

• All providers in Detroit, MI
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.