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

Mr. Marc Patrick Boulanger II, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639063266

Mr. Marc Patrick Boulanger II, DNP, PMHNP-BC is a Nurse Practitioner in San Diego, California. Qualified in 2025, 1 year ago. Practices with Community Research Foundation Inc, a 64-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 350 Dickinson St Ste 325, San Diego, CA 92103-1913 — (800) 926-8273
  • 6655 Alvarado Rd, San Diego, CA 92120-5208 — (800) 926-8273
  • 6363 Greenwich Dr, San Diego, CA 92122-5947 — (800) 926-8273
  • 3350 La Jolla Village Dr, San Diego, CA 92161-0002 — (858) 552-8585

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95035464 (CA)

Record details

NPI number1639063266
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Community Research Foundation Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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