PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1972853299

PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC) is a healthcare provider. based in Avon, Connecticut. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials MS, APRN, PMHNP-BC. They hold a License No. 525838 (NY). The NPI Number for PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC) is 1972853299

Main info

Male
Sole Proprietor
Name
PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC)
NPI
1972853299
Phone
(860) 990-9870
Address
40 AVON MEADOW LANE
Enumeration Date
13 September 2012
Last Update Date
31 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC)

  • 40 AVON MEADOW LANE

    AVON, CT 06001

    Phone: (860) 990-9870

    Type: Mailing

  • 1650 SYCAMORE AVE STE 39

    BOHEMIA, NY 117161736

    Phone: (631) 213-1770

    Fax: (631) 315-8042

    Type: Location

NPPES updates history

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Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 06001)

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Frequently asked questions

What unique ID ties claims to PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC)?
NPI 1972853299 is assigned to PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC) under the national enumeration system.
Is PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC)?
The page summarizes Avon, Connecticut for PETER RALPH JR. BOURQUE (MS, APRN, PMHNP-BC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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