DR. JENNIFER H. BOURGOIN PSY.D.
NPI 1518219302
Counselor - Mental Health in Portland, ME

Q: What is Jennifer Bourgoin's NPI number?

The NPI number for Jennifer Bourgoin is 1518219302. It was assigned to this individual provider in the NPPES registry on October 4, 2012. The provider is also known as Jennifer Tracey Haworth Psy.D..

Q: What is Jennifer Bourgoin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bourgoin was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 04, 2012

57 EXCHANGE ST, SUITE 403, PORTLAND, ME 04101(617) 431-4608 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2021, Jul 15, 2020, Apr 18, 2017 (3 updates tracked since 2017).

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About Dr. Jennifer H. Bourgoin Psy.d. NPPES

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

DR. JENNIFER H. BOURGOIN PSY.D. (NPI 1518219302) is an individual mental health provider in Portland, Maine, licensed in Massachusetts (10275) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1518219302

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. JENNIFER H. BOURGOINCredential: PSY.D.

Location Address57 EXCHANGE ST, SUITE 403Portland, ME 04101

Mailing Address57 Exchange St, Suite 403Portland, ME 04101 · (617) 431-4608

Phone(617) 431-4608

Sole ProprietorYes

Enumeration DateOctober 4, 2012

Last NPPES UpdateOctober 19, 20213 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1518219302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 10275

Also ListedPsychologistTaxonomy 103T00000X · License PS1620 (ME), 10275 (MA), 024452 (NY)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 10275 (MA)

57 EXCHANGE ST, Portland, ME 04101

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Other Names 1

Former Name (1)Jennifer Tracey Haworth Psy.d.

Other Providers at the Same Location NPPES 13

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

AMY WOOD PSY D

Psychiatry & Neurology (Psychiatry)

57 EXCHANGE ST, SUITE 403
PORTLAND, ME 04101

Cumberland County (207) 772-7542

CARLANN M. WELCH, PSY.D., LLC

Psychologist

57 EXCHANGE ST, SUITE 403
PORTLAND, ME 04101

Cumberland County (207) 775-0382

DR. CARLANN M WELCH PSY.D.

Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)

57 EXCHANGE ST, SUITE 403
PORTLAND, ME 04101

Cumberland County (207) 775-0382

LINDA MARSH, PSY.D.,P.A.

Psychologist

57 EXCHANGE ST, SUITE 403
PORTLAND, ME 04101

Cumberland County (207) 829-4070

GREAT ISLAND RECOVERY

Counselor (Addiction (Substance Use Disorder))

57 EXCHANGE ST, STE. 100
PORTLAND, ME 04101

Cumberland County (207) 329-5615

MONIQUE RAFUSE

Counselor

57 EXCHANGE ST
PORTLAND, ME 04101

Cumberland County (207) 558-1814

JENNIFER RENT LCPC

Counselor

57 EXCHANGE ST
PORTLAND, ME 04101

Cumberland County (207) 332-3922

LINDA RF TIFFANY LCPC, LADC

Counselor (Mental Health)

57 EXCHANGE ST, SUITE 402
PORTLAND, ME 04101

Cumberland County (207) 619-3161

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 Jennifer Bourgoin's NPI number?

The NPI number for Jennifer Bourgoin is 1518219302. It was assigned to this individual provider in the NPPES registry on October 4, 2012. The provider is also known as Jennifer Tracey Haworth Psy.D..

Where is Jennifer Bourgoin located?

Jennifer Bourgoin practices at 57 Exchange St Suite 403, Portland, ME 04101. The listed phone number is (617) 431-4608.

What is Jennifer Bourgoin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Bourgoin was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.