JEFFREY LOBERIANO BOUCHER PMHNP
NPI 1124973938
Nurse Practitioner - Psychiatric/Mental Health in Old Town, ME

Q: What is Jeffrey Boucher's NPI number?

The NPI number for Jeffrey Boucher is 1124973938. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Q: What is Jeffrey Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Boucher was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since February 27, 2026

59 DAVIS ST, OLD TOWN, ME 04468(323) 898-9622 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffrey Loberiano Boucher Pmhnp NPPES

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

JEFFREY LOBERIANO BOUCHER PMHNP (NPI 1124973938) is an individual psychiatric/mental health provider in Old Town, Maine, licensed in California (95038702) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124973938

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJEFFREY LOBERIANO BOUCHERCredential: PMHNP

Location Address59 DAVIS STOld Town, ME 04468-1337

Mailing Address59 Davis StOld Town, ME 04468-1337 · (323) 898-9622

Phone(323) 898-9622

Sole ProprietorNo

Enumeration DateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1124973938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95038702

59 DAVIS ST, Old Town, ME 04468

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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 Jeffrey Boucher's NPI number?

The NPI number for Jeffrey Boucher is 1124973938. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Where is Jeffrey Boucher located?

Jeffrey Boucher practices at 59 Davis St, Old Town, ME 04468. The listed phone number is (323) 898-9622.

What is Jeffrey Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jeffrey Boucher was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.