IndividualActive
Jean Boudreaux, PHD
NPI 1518128578 · Psychologist · Jackson, MS
Jean Boudreaux, PHD is a Psychologist provider in Jackson, MS (NPI 1518128578).
Provider details
- NPI number
- 1518128578
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 47824 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-3110
Fax: (601) 362-6170
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23666
Jackson, MS 39225-3666
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2008-06-23
Frequently asked questions
- What is Jean Boudreaux's NPI number?
- Jean Boudreaux's National Provider Identifier (NPI) is 1518128578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jean Boudreaux's specialty?
- Jean Boudreaux is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jean Boudreaux located?
- Jean Boudreaux's practice location on file with NPPES is 969 Lakeland Dr, Jackson, MS 39216-4606.
- What is Jean Boudreaux's phone number?
- The practice phone number listed in the NPPES registry for Jean Boudreaux is (601) 200-3110.
- Is Jean Boudreaux's NPI active?
- Yes — Jean Boudreaux's NPI (1518128578) is active in the NPPES registry as of the last update on 2008-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.