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PETER BOURQUE NP LLC
NPI 1629810585
Nurse Practitioner - Psychiatric/Mental Health in Bohemia, NY

Active since June 11, 2024
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716(631) 213-1770(631) 315-8042 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2026, Jan 15, 2026, Oct 3, 2024 and 1 more (4 updates tracked since 2024).

About Peter Bourque Np Llc NPPES

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

PETER BOURQUE NP LLC (NPI 1629810585) is a healthcare organization registered as a psychiatric/mental health in Bohemia, New York and active in the NPI registry since June 2024. The organization lists Jocelyn Verbeke, Coo And Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1629810585
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePETER BOURQUE NP LLC
Location Address1650 SYCAMORE AVE STE 39Bohemia, NY 11716-1736
Mailing Address1650 Sycamore Ave Ste 39Bohemia, NY 11716-1736 · (631) 213-1770 · Fax (631) 315-8042
Phone(631) 213-1770
Fax(631) 315-8042
Organization SubpartNo
Authorized OfficialJocelyn VerbekeCoo And Practice Manager · (631) 213-1770
Enumeration DateJune 11, 2024
Last NPPES UpdateJanuary 31, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2026
✔ NPI 1629810585 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
1650 SYCAMORE AVE STE 39, Bohemia, NY 11716
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

KRISTINE MENNA LCAT
Counselor
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
MS. MONIKA CHARLOTTE PAULUS
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
DANIEL WOODS
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
MISS STEPHANIE-ANN NICOLE KEICHER
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
HAILEY MARIE MANCINI MHC
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
LARINA ARIEL ARCESE
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
MR. MAURICE LAMONT MEEKS JR.
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290
CORA ANN SAWYER
Counselor (Mental Health)
1650 SYCAMORE AVE STE 39
BOHEMIA, NY 11716
Suffolk County (631) 758-8290

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 Peter Bourque Np LLC's NPI number?

The NPI number for Peter Bourque Np LLC is 1629810585. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is Peter Bourque Np LLC located?

Peter Bourque Np LLC is located at 1650 Sycamore Ave Ste 39, Bohemia, NY 11716. The listed phone number is (631) 213-1770.

What is Peter Bourque Np LLC'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 Peter Bourque Np LLC was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.