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

Individual provider Psychologist · NPI 1518219302

Dr. Jennifer H. Bourgoin, PSYD is a Psychologist in Portland, Maine. Practices as a sole proprietor. Licensed in Massachusetts, Maine and New York.

Licensed in
MA, ME, NY
In the registry since
2012
Specialties on file
5
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

57 Exchange St Ste 403
Portland, ME 04101
Phone: (617) 431-4608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10275 (MA)
Psychologist Taxonomy 103T00000X · Licence PS1620 (ME)
Psychologist Taxonomy 103T00000X · Licence 10275 (MA)
Psychologist Taxonomy 103T00000X · Licence 024452 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 10275 (MA)

Record details

NPI number1518219302
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 4, 2012
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

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