Dr. Manijeh Boustani is a Wilson, North Carolina based psychologist with 37 years of experience in General Psychology. She completed her graduation in 1987. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Manijeh Boustani is 1456 for General Psychology in North Carolina. Her current practice location is 2401 Wooten Blvd Sw Ste K, Wilson. Patients can reach her at 252-291-0735 or can fax her at 252-291-2890. Dr. Manijeh Boustani is PH.D. in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1134215031. Dr. Manijeh Boustani is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Manijeh Boustani speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Manijeh Boustani
Specialization:
General Psychology
Gender:
Female
Credentials:
PH.D.
Experience:
37+ years
Medical School Attended:
Other
Graduation Year:
1987
Accepts Medicare Assignment:
Yes
Practice Address:
2401 Wooten Blvd Sw Ste K, Wilson, North Carolina, 27893-4464
Phone:
252-291-0735
Fax:
252-291-2890
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678676525
Enrollment ID:
I20070313000570
NPI Number:
1134215031
NPI Enumeration Date:
05 Oct, 2006
NPI Last Update On:
20 Sep, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Manijeh Boustani are as mentioned below.
License Number
Specialization
State
Status
1456
General Psychology
North Carolina
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Manijeh Boustani is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Psychological Mobile Services, Pa (9931349040)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Manijeh Boustani such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6000721
Medicaid
North Carolina
6000563
Medicaid
North Carolina
0416L
Other
North Carolina
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Manijeh Boustani 608 Penncross Dr, Raleigh, North Carolina
Zip:
27610-2177
Phone Number:
919-656-3589
Fax Number:
919-243-0923
Patients can reach Dr. Manijeh Boustani at 2401 Wooten Blvd Sw Ste K, Wilson, North Carolina or can call to book an appointment on 252-291-0735.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.