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

Dr. Manijeh Boustani, PHD

Individual provider Psychologist · NPI 1134215031

Dr. Manijeh Boustani, PHD is a Clinical Psychologist in Wilson, North Carolina. Qualified in 1987, 39 years ago. Practices with Psychological Mobile Services, PA, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Licensed in
NC
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2401 Wooten Blvd SW Ste K
Wilson, NC 27893-4464
Phone: (252) 291-0735
Fax: (252) 291-2890
Show map & directions

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

Additional practice locations (1)

  • 105 S Ellington St, Clayton, NC 27520-2305 — (919) 243-0454

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1456 (NC)

Record details

NPI number1134215031
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESSeptember 20, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Psychological Mobile Services, Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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