Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Edwin D Boudreaux, PH.D.

Clinical Psychologist in Worcester, MA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790873768

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Registry record

Entity type Individual (Type 1)

Name Dr. Edwin D Boudreaux

Credential PH.D.

Sex Male

Practice address 55 Lake Ave N, Worcester, MA, 01655

Phone (508) 334-3817

Enumeration date Oct 11, 2006

Last updated in NPPES Jan 25, 2017

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 9227 (MA) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier	Type	State	Issuer
001663773	Other	-	AMERIHEALTH PPO
476594000	Other	-	MAGELLAN
7663465	Other	-	AETNA
3K6039	Other	-	HEALTHNET
42304	Other	-	UNIVERSITY HEALTHPLAN
2321722000	Other	-	AMERIHEALTH HMO, KEYSTONE, IBC
8879800	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Edwin Boudreaux?

The National Provider Identifier (NPI) for Edwin Boudreaux is 1790873768, a Type 1 (individual) record in the CMS NPPES registry.

Where does Edwin Boudreaux practice?

The practice location on file with NPPES is in Worcester, MA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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James Liebmann Medical Oncology Physician · Worcester, MA NPI 1477556587 Daniel Han Radiation Oncology Physician · Worcester, MA NPI 1831192301 Frances Lagana Podiatrist · Worcester, MA NPI 1750385514 Seth Arum Endocrinology, Diabetes & Metabolism Physician · Worcester, MA NPI 1679578793 Yong Zhao Blood Banking & Transfusion Medicine Physician · Worcester, MA NPI 1366448813 Donna Russell Certified Registered Nurse Anesthetist · Worcester, MA NPI 1689672347 Bruce Simon Surgical Critical Care Physician · Worcester, MA NPI 1164420634 Richard Haas Endocrinology, Diabetes & Metabolism Physician · Worcester, MA NPI 1023017373

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-25.