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MR. RYAN BOURSIQUOT
NPI 1912495540
Counselor - Mental Health in Roxbury, MA

Active since April 30, 2018
520 DUDLEY ST, ROXBURY, MA 02119(617) 989-9499 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Ryan Boursiquot NPPES

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

MR. RYAN BOURSIQUOT (NPI 1912495540) is an individual mental health provider in Roxbury, Massachusetts and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1912495540
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RYAN BOURSIQUOT
Location Address520 DUDLEY STRoxbury, MA 02119-2769
Mailing Address520 Dudley StRoxbury, MA 02119-2769 · (617) 989-9499
Phone(617) 989-9499
Sole ProprietorNo
Enumeration DateApril 30, 2018
✔ NPI 1912495540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
520 DUDLEY ST, Roxbury, MA 02119
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Other Providers at the Same Location NPPES 20

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

MS. EBONEE TROUP BS
Social Worker (Clinical)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 690-9701
LAKEYSHA EGLESTON
Case Manager/Care Coordinator
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJA JAMES-HUGHES
Community Health Worker
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (774) 297-7277
MARISA MEDEIROS DASILVA MSW
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (978) 505-6286
DOUGLAS BENTON
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 602-7869
UJU ILECHUKWU
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJANAY HUGHES PEARSON
Counselor (Mental Health)
520 DUDLEY ST
BOSTON, MA 02119
Suffolk County (857) 399-3390
YUKA HAYASHI
Student in an Organized Health Care Education/Training Program
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (857) 919-7922

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 Ryan Boursiquot's NPI number?

The NPI number for Ryan Boursiquot is 1912495540. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Ryan Boursiquot located?

Ryan Boursiquot practices at 520 Dudley St, Roxbury, MA 02119. The listed phone number is (617) 989-9499.

What is Ryan Boursiquot'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 Ryan Boursiquot was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.