Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAXIME BLAISE BOURGAULT
NPI 1023921301
Psychologist in Dallas, TX

Active since September 25, 2026
6139 RICHMOND AVE, DALLAS, TX 75214(214) 766-3461 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Maxime Blaise Bourgault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIME BLAISE BOURGAULT (NPI 1023921301) is an individual psychologist in Dallas, Texas, licensed in Texas (41248) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1023921301
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMAXIME BLAISE BOURGAULT
Location Address6139 RICHMOND AVEDallas, TX 75214-3635
Mailing Address6139 Richmond AveDallas, TX 75214-3635 · (214) 766-3461
Sole ProprietorYes
Enumeration DateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1023921301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 41248
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6139 RICHMOND AVE, Dallas, TX 75214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxime Bourgault's NPI number?

The NPI number for Maxime Bourgault is 1023921301. It was assigned to this individual provider in the NPPES registry on September 25, 2026.

Where is Maxime Bourgault located?

Maxime Bourgault practices at 6139 Richmond Ave, Dallas, TX 75214. The listed phone number is (214) 766-3461.

What is Maxime Bourgault's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Maxime Bourgault was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.