Peter Ralph Bourque Jr., MS, APRN, PMHNP-BC
Peter Ralph Bourque Jr. is a Psychiatric/Mental Health Nurse Practitioner provider (Nurse Practitioner) practicing in Bohemia, NY, registered in the NPPES registry with NPI 1972853299 since 2012. The credential APRN stands for Advanced Practice Registered Nurse. Practices at Peter Bourque Np LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1972853299 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Peter Ralph Bourque Jr. |
| Credential | MS, APRN, PMHNP-BC |
| Sex | Male |
| Practice address | Bohemia, NY, 11716 |
| Phone | 6312131770 |
| Fax | 6313158042 |
| Enumeration date | 2012-09-13 |
| Last updated in NPPES | 2026-01-31 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LA2200X | Adult Health Nurse Practitioner | Secondary | 525838 | NY |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | F402626 | NY |
APRN — Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential
Copy-ready billing details
Provider: Peter Bourque, MS, APRN, PMHNP-BC NPI: 1972853299 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: Bohemia, NY, 11716
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962746255 | Erica Smith | Individual | School Psychologist | Bohemia, NY |
| 1801313895 | Erika Isaksen | Individual | Mental Health Counselor | Bohemia, NY |
| 1912480203 | Amy Bouziotis | Individual | Mental Health Counselor | Bohemia, NY |
| 1912554882 | Rachel Odonnell | Individual | Counselor | Bohemia, NY |
| 1275168858 | Daniel Woods | Individual | Mental Health Counselor | Bohemia, NY |
| 1972138089 | Bernadette Barto | Individual | Counselor | Bohemia, NY |
| 1225706856 | Sherry Zemnick | Individual | Mental Health Counselor | Bohemia, NY |
| 1215605746 | Monika Paulus | Individual | Mental Health Counselor | Bohemia, NY |
Verify this record
Cross-check NPI 1972853299 against the authoritative CMS record: view Peter Ralph Bourque Jr. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Is this the official NPI registry?
What specialty is Peter Bourque?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-31.