Sherly Boulay

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

32311692 Issued in FL

Practice address

15635 SW 52ND CT
Miramar, FL 33027-4982

Phone

(954) 815-7268

NPI assigned

Dec 3, 2015

Last updated

Aug 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

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

• Catholic Charities Inc - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterbury, CT
  • NPI 1154415354

  Single Specialty

  Medicare reassignment NPD
• Catholic Charities Inc - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1245324516

  Single Specialty

  Medicare reassignment NPD
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, CT
  • NPI 1518051747

  Single Specialty

  Medicare reassignment NPD
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Torrington, CT
  • NPI 1669566956

  Single Specialty

  Medicare reassignment NPD
• El-Shaddai Elohim Medical Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
  • NPI 1730808940
  Authorized official Same address or phone
• Sherly Boulay

  • Health Service Clinic/Center
  • Miramar, FL
  • NPI 1720456221
  NPD (past) Authorized official
• Catholic Charities Inc - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterbury, CT
  • NPI 1295980787
  NPD
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, CT
  • NPI 1124112347

  Single Specialty

  NPD
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1467545251
  NPD

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1851766737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 SW 52ND CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274982",
            "telephone_number": "954-815-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15635 SW 52ND CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274982",
            "telephone_number": "954-815-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULAY",
        "first_name": "SHERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3237692",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "32311692",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "FL",
            "license": "ARNP3237692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon Borges Alvarez
• Boriken Family Health and Wellness Center PL
• Kirenia Borrero Mendoza
• Roseline Bossous
• Jenny P Boucicaut
• Vernese Bowe
• Keachia Makeba Bowers, LCSW
• Carnella Rae Boxley, M.D.
• Jeremy Taylor Boyd, NP
• Donya Braddock

• Psychiatric/Mental Health Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.