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Edwin Boudreaux, PH.D.
NPI 1790873768 · Clinical Psychologist · Worcester, MA
Edwin Boudreaux, PH.D. is a Clinical Psychologist provider in Worcester, MA (NPI 1790873768).
Provider details
- NPI number
- 1790873768
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9227 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
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
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
55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3817
Street-level locationGet directions
Mailing address
Po Box 415348
Boston, MA 02241-5348
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2017-01-25
Frequently asked questions
- What is Edwin Boudreaux's NPI number?
- Edwin Boudreaux's National Provider Identifier (NPI) is 1790873768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edwin Boudreaux's specialty?
- Edwin Boudreaux is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Edwin Boudreaux located?
- Edwin Boudreaux's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Edwin Boudreaux's phone number?
- The practice phone number listed in the NPPES registry for Edwin Boudreaux is (508) 334-3817.
- Is Edwin Boudreaux's NPI active?
- Yes — Edwin Boudreaux's NPI (1790873768) is active in the NPPES registry as of the last update on 2017-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.