Jacqueline Boutrouille MD PA
NPI 1720325574ActiveOrganization· Psychiatry & Neurology, Psychiatry· Tamarac, FL
Psychiatry & Neurology, Psychiatry in Tamarac, Florida, registered in NPPES in January 2013. The authorized official on file is Jacqueline D. Boutrouille, MD, Owner.
Overview
| NPI | 1720325574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2013 |
| Last updated in NPPES | Mar 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | ME87029 | FL |
| Psychiatry & Neurology, Addiction Psychiatry | 2084P0802X | ME87029 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychiatry & Neurology, Psychiatry providers in Tamarac
- 1871610642
- 1689863458
- 1306577960
- 1700453081
- 1912192998
- 1629372982
- 1003680026
- 1972416444
- 1811438682
- 1184202012
- 1447295886
- 1467515361
All Psychiatry & Neurology, Psychiatry providers in Florida →