Marc Boulanger, DNP, PMHNP-BC
NPI 1639063266 · Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Boulanger, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in San Diego, CA (NPI 1639063266).
Provider details
- NPI number
- 1639063266
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 95035464 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 3350 La Jolla Village DrSan Diego, CA 92161-0002Phone: (858) 552-8585
- 350 Dickinson St Ste 325San Diego, CA 92103-1913Phone: (800) 926-8273Fax: (888) 539-8781
- 6655 Alvarado RdSan Diego, CA 92120-5208Phone: (800) 926-8273Fax: (888) 539-8781
- 6363 Greenwich DrSan Diego, CA 92122-5947Phone: (800) 926-8273Fax: (888) 539-8781
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Marc Boulanger's NPI number?
- Marc Boulanger's National Provider Identifier (NPI) is 1639063266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Boulanger's specialty?
- Marc Boulanger is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marc Boulanger located?
- Marc Boulanger's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Marc Boulanger's phone number?
- The practice phone number listed in the NPPES registry for Marc Boulanger is (800) 926-8273.
- Does Marc Boulanger accept Medicare?
- Marc Boulanger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Boulanger's NPI active?
- Yes — Marc Boulanger's NPI (1639063266) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.