DR. GEORGE JAMES BOUKLAS PH.D
NPI 1891834305
Psychologist - Clinical in East Setauket, NY

Q: What is George Bouklas's NPI number?

The NPI number for George Bouklas is 1891834305. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is George Bouklas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for George Bouklas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 05, 2007

69A GNARLED HOLLOW RD, EAST SETAUKET, NY 11733(631) 751-0092(631) 689-6201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. George James Bouklas Ph.d NPPES

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

DR. GEORGE JAMES BOUKLAS PH.D (NPI 1891834305) is an individual clinical provider in East Setauket, New York, licensed in New York (011248) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1891834305

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GEORGE JAMES BOUKLASCredential: PH.D

Location Address69A GNARLED HOLLOW RDEast Setauket, NY 11733-2026

Mailing Address69a Gnarled Hollow RdEast Setauket, NY 11733-2026 · (631) 751-0092 · Fax (631) 689-6201

Phone(631) 751-0092

Fax(631) 689-6201

Sole ProprietorYes

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891834305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 011248

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.

69A GNARLED HOLLOW RD, East Setauket, NY 11733

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Other Identifiers 2

Medicare ID-Type UnspecifiedV5B791NY

Medicaid01338949NY

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 George Bouklas's NPI number?

The NPI number for George Bouklas is 1891834305. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is George Bouklas located?

George Bouklas practices at 69A Gnarled Hollow Rd, East Setauket, NY 11733. The listed phone number is (631) 751-0092.

What is George Bouklas's specialty?

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

When was this NPI record last updated?

The NPPES record for George Bouklas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.