PATRICK A. BOUDEWYNS PHD
NPI 1063522779
Psychologist in Augusta, GA

Active since August 30, 2006
1120 15TH ST, AUGUSTA, GA 30912(706) 721-3141(706) 721-6602 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patrick A. Boudewyns Phd NPPES

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

PATRICK A. BOUDEWYNS PHD (NPI 1063522779) is an individual psychologist in Augusta, Georgia, licensed in Georgia (PSY000791) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063522779
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NamePATRICK A. BOUDEWYNSCredential: PHD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 828-8401
Fax(706) 721-6602
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 30, 2011
NPI 1063522779 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 GA · PSY000791
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.
1120 15TH ST, Augusta, GA 30912

Other Identifiers 4

Medicaid000257771AGA
Medicare ID-Type Unspecified68BBFRBGA · Ga Medicare #
Medicare UPINS21497
MedicaidPS0178SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912

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 Patrick Boudewyns's NPI number?

The NPI number for Patrick Boudewyns is 1063522779. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Patrick Boudewyns located?

Patrick Boudewyns practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-3141.

What is Patrick Boudewyns'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 Patrick Boudewyns was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.