Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline D Boutrouille, MD, PA

Individual provider Psychiatry Physician · NPI 1447295886

Dr. Jacqueline D Boutrouille, MD, PA is a Psychiatry in Tamarac, Florida. Qualified in 1979, 47 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
47
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

7880 N University Dr Ste 303
Tamarac, FL 33321-2124
Phone: (954) 340-3000
Fax: (954) 636-8407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME 87029 (FL)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence ME 87029 (FL)

Record details

NPI number1447295886
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PA
Sole proprietorYes
NPI enumeratedJune 19, 2006
Last updated in NPPESJanuary 11, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesADDICTION MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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