Angelique Marie Bouffiou

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

1 Westinghouse PLZ FL 2
Boston, MA 02136-2075

Phone

(617) 904-9605

Fax

(617) 910-9784

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Angelique Anastasia Beauchene Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1861147019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTINGHOUSE PLZ FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021362075",
            "telephone_number": "617-910-9605",
            "fax_number": "617-910-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTINGHOUSE PLZ FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021362075",
            "telephone_number": "617-904-9605",
            "fax_number": "617-910-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUFFIOU",
        "first_name": "ANGELIQUE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "icanotes.com",
            "affiliation": "N",
            "endpointDescription": "icanotes MH encrypted application",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Westinghouse Plz Fl 2",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021362075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "BEAUCHENE",
            "middle_name": "ANASTASIA",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Boudreau, PA-C
• Stephanie Lynn Boudreau, DPT
• Susan Ann Boudreau, NP
• Katherine Boudreault
• Marc Albert Bouffard, M.D.
• Amy L. Boughan, ANP
• Oliver Boughton, MBBS
• Hannah Ananda Bougleux Gomes, MD
• Amina Bougrine, MD
• Sarah Bouhabel, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.