Mr. Peter R Bourque Jr.
APRN | Nurse Practitioner - Psych/Mental Health
1650 Sycamore Ave Ste 39, Bohemia
New York, 11716-1736
631-317-1024
Mr. Peter R Bourque Jr. is a Bohemia, New York based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mr. Peter R Bourque Jr. is F402626 for Psych/Mental Health in New York. His current practice location is 1650 Sycamore Ave Ste 39, Bohemia. Patients can reach him at 631-317-1024. Mr. Peter R Bourque Jr. is APRN with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1972853299.
Mr. Peter R Bourque Jr. provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Peter R Bourque Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Peter R Bourque Jr. |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | APRN |
| Practice Address: | 1650 Sycamore Ave Ste 39, Bohemia,
New York, 11716-1736 |
| Phone: | 631-317-1024 |
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.
| NPI Number: | 1972853299 |
| NPI Enumeration Date: | 13 Sep, 2012 |
| NPI Last Update On: | 01 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Peter R Bourque Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| F402626 | Psych/Mental Health | New York | Primary | |
| 5047 | Psych/Mental Health | Connecticut | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Peter R Bourque Jr.
40 Avon Meadow Lane,
Avon, Connecticut |
| Zip: | 06001 |
| Phone Number: | 860-990-9870 |
Patients can reach Mr. Peter R Bourque Jr. at
1650 Sycamore Ave Ste 39, Bohemia, New York or can
call to book an appointment on 631-317-1024.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.