DR. SEAN NICHOLAS BOILEAU PH.D.
NPI 1508012113
Psychologist in Los Angeles, CA

Active since August 14, 2008PECOS Enrolled
611 S KINGSLEY DR, LOS ANGELES, CA 90005(213) 201-1337(213) 201-1337 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Mar 8, 2025, Dec 7, 2020 (3 updates tracked since 2020).

About Dr. Sean Nicholas Boileau Ph.d. NPPES

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

DR. SEAN NICHOLAS BOILEAU PH.D. (NPI 1508012113) is an individual psychologist in Los Angeles, California, licensed in California (PSY24035) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508012113
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SEAN NICHOLAS BOILEAUCredential: PH.D.
Location Address611 S KINGSLEY DRLos Angeles, CA 90005-2319
Mailing Address611 S Kingsley DrLos Angeles, CA 90005-2319 · (213) 201-1337 · Fax (213) 201-1337
Fax(213) 201-1337
Sole ProprietorYes
Enumeration DateAugust 14, 2008
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1508012113 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 CA · PSY24035
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.
611 S KINGSLEY DR, Los Angeles, CA 90005

Other Identifiers 1

OtherPSY24035CA · California Board Of Psychology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sean Nicholas Boileau Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Federally Qualified Health Center (FQHC))
611 S KINGSLEY DR
LOS ANGELES, CA 90005
Social Worker (Clinical)
611 S KINGSLEY DR
LOS ANGELES, CA 90005
Pharmacist
611 S KINGSLEY DR
LOS ANGELES, CA 90005
Social Worker (Clinical)
611 S KINGSLEY DR
LOS ANGELES, CA 90005
Case Management
611 S KINGSLEY DR, 4TH FLOOR
LOS ANGELES, CA 90005
Case Manager/Care Coordinator
611 S KINGSLEY DR
LOS ANGELES, CA 90005
Social Worker (Clinical)
611 S KINGSLEY DR
LOS ANGELES, CA 90005
Social Worker (Clinical)
611 S KINGSLEY DR
LOS ANGELES, CA 90005

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 Sean Boileau's NPI number?

The NPI number for Sean Boileau is 1508012113. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is Sean Boileau located?

Sean Boileau practices at 611 S Kingsley Dr, Los Angeles, CA 90005. The listed phone number is (213) 201-1337.

What is Sean Boileau's specialty?

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

Is Sean Boileau enrolled in Medicare?

Yes. Sean Boileau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sean Boileau was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.