DR. GILLIAN BOUDREAU PH.D.
NPI 1386893683
Psychologist - Clinical in South Burlington, VT

Active since September 11, 2008Opted out of Medicare · through Sep 4, 2026
364 DORSET ST, SUITE 212, SOUTH BURLINGTON, VT 05403(802) 658-9440 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gillian Boudreau Ph.d. NPPES

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

DR. GILLIAN BOUDREAU PH.D. (NPI 1386893683) is an individual clinical provider in South Burlington, Vermont, licensed in Vermont (048.0072593) and active in the NPI registry since September 2008. She has opted out of Medicare through September 4, 2026.

NPPES Registry Identity

NPI1386893683
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GILLIAN BOUDREAUCredential: PH.D.
Location Address364 DORSET ST, SUITE 212South Burlington, VT 05403-6270
Mailing Address364 Dorset St, Suite 212South Burlington, VT 05403-6270
Sole ProprietorYes
Enumeration DateSeptember 11, 2008
Last NPPES UpdateMay 14, 2012
NPI 1386893683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VT · 048.0072593
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
364 DORSET ST, South Burlington, VT 05403

Other Identifiers 1

Other12350163Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Gillian Boudreau Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 4, 2024 through September 4, 2026.

Opt-Out Effective DateSeptember 4, 2024
Opt-Out In Effect ThroughSeptember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Cardiovascular Disease)
364 DORSET ST, SUITE 1
SOUTH BURLINGTON, VT 05403
Internal Medicine (Cardiovascular Disease)
364 DORSET ST, SUITE 1
SOUTH BURLINGTON, VT 05403
Internal Medicine (Cardiovascular Disease)
364 DORSET ST, SUITE1
SOUTH BURLINGTON, VT 05403
Physician Assistant
364 DORSET ST, STE 2
SOUTH BURLINGTON, VT 05403
Internal Medicine (Cardiovascular Disease)
364 DORSET ST, SUITE 1
SOUTH BURLINGTON, VT 05403
Dermatology
364 DORSET ST, SUITE 204
SOUTH BURLINGTON, VT 05403
Counselor (Mental Health)
364 DORSET ST, 204
SOUTH BURLINGTON, VT 05403
Counselor (Mental Health)
364 DORSET ST, SUITE 204
SOUTH BURLINGTON, VT 05403

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 Gillian Boudreau's NPI number?

The NPI number for Gillian Boudreau is 1386893683. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Gillian Boudreau located?

Gillian Boudreau practices at 364 Dorset St Suite 212, South Burlington, VT 05403. The listed phone number is (802) 658-9440.

What is Gillian Boudreau's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gillian Boudreau enrolled in Medicare?

No. Gillian Boudreau has opted out of Medicare through September 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gillian Boudreau was last updated on May 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.