Manijeh Boustani, PH.D.
NPI 1134215031 · Psychologist · Wilson, NC
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Manijeh Boustani, PH.D. is a Psychologist provider in Wilson, NC (NPI 1134215031).
Provider details
- NPI number
- 1134215031
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1456 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 105 S Ellington StClayton, NC 27520-2305Phone: (919) 243-0454Fax: (919) 243-0923
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2018-09-20
Frequently asked questions
- What is Manijeh Boustani's NPI number?
- Manijeh Boustani's National Provider Identifier (NPI) is 1134215031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Manijeh Boustani's specialty?
- Manijeh Boustani is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Manijeh Boustani located?
- Manijeh Boustani's practice location on file with NPPES is 2401 Wooten Blvd Sw Ste K, Wilson, NC 27893-4464.
- What is Manijeh Boustani's phone number?
- The practice phone number listed in the NPPES registry for Manijeh Boustani is (252) 291-0735.
- Does Manijeh Boustani accept Medicare?
- Manijeh Boustani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Manijeh Boustani's NPI active?
- Yes — Manijeh Boustani's NPI (1134215031) is active in the NPPES registry as of the last update on 2018-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.