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

Dr. Mina Boazak, MD

Individual provider Psychiatry Physician · NPI 1104209329

Dr. Mina Boazak, MD is a Psychiatry in Durham, North Carolina. Qualified in 2015, 11 years ago. Practices with Animo Sano Psychiatry PLLC, a 47-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone: (919) 391-7202
Fax: (919) 391-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1202 Ne McClain Rd Bldg 7, Bentonville, AR 72712-3875 — (919) 391-7202
  • 64 E Broadway Rd Ste 200, Tempe, AZ 85282-1377 — (919) 391-7202
  • 100 S 4th St Ste 550, Saint Louis, MO 63102-1800 — (919) 391-7202
  • 510 Clinton Sq Ofc 509, Rochester, NY 14604-1700 — (919) 391-7202
  • 201 Robert S Kerr Ave Ste 700, Oklahoma City, OK 73102-4203 — (919) 391-7202
  • 1601 5th Ave Ofc 1080, Seattle, WA 98101-3621 — (919) 391-7202

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2019-00873 (NC)

Record details

NPI number1104209329
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Animo Sano Psychiatry Pllc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Durham