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

Peter Ralph Bourque Jr., MS, APRN, PMHNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1972853299

Peter Ralph Bourque Jr., MS, APRN, PMHNP-BC is an Adult Health Nurse Practitioner in Bohemia, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736
Phone: (631) 213-1770
Fax: (631) 315-8042
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F402626 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 525838 (NY)

Record details

NPI number1972853299
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , APRN , PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 13, 2012
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026