Manijeh Boustani, PH.D.
Psychologist · Wilson, NC
Manijeh Boustani, PH.D. is a psychologist with a practice address in Wilson, North Carolina, and NPI 1134215031, issued on Oct 5, 2006. Check the license (North Carolina 1456, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Manijeh Boustani
- Credential
- PH.D.
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 1456 NC
Self-reported in NPPES; status is on the state search - Practice location
- 2401 Wooten Blvd SW Ste K, Wilson, NC 27893
- Phone
- (252) 291-0735
- Enumerated
- Oct 5, 2006
- Record last updated
- Sep 20, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (252) 291-2890
- Medicaid IDs
- 6000721 NC
6000563 NC - Medicare enrollment
- Enrolled (PECOS I20070313000570); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2401 Wooten Blvd SW Ste K
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Regan Hannant, LCSWClinical Social Worker1497780191
- Jade Woodard Pyburn, LCSWClinical Social Worker1447773981
Verify Manijeh Boustani in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 1456Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Psychological Mobile Services, PAWilson, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Psychologist providers in North Carolina
There are 1,662 psychologist records in North Carolina.
Other psychologist records in North Carolina
- Robert Abramowitz, PH.D.Charlotte, NC1730281304
- William Acree, PSY.D.Winston Salem, NC1821037144
- Kelly Adamchick, MA, AC, CAS, LPA-HSPMint Hill, NC1922747237
- Lauren AdamsRaleigh, NC1750168266
- Madeline Adolf, PSY ASSOCAsheville, NC1164102240
- Michael Affemann, PH.D.Carolina Beach, NC1558409326
- Allison Agro, PSY.D.Swansboro, NC1578870283
- Charles Ahr, PHDRaleigh, NC1740249234
- David Aiello, PH.D.Raleigh, NC1457663296
- Stephen Alcala, LPA, BCBACary, NC1528489481
Common questions
What is Manijeh Boustani, PH.D.'s NPI number?
Manijeh Boustani, PH.D.'s National Provider Identifier (NPI) is 1134215031, issued on Oct 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Manijeh Boustani, PH.D. located?
The NPPES record lists a practice address at 2401 Wooten Blvd SW Ste K, Wilson, NC, 27893. Phone: (252) 291-0735. Providers update this record themselves, so call before visiting.
How can I verify Manijeh Boustani, PH.D.'s license?
NPPES lists North Carolina license number 1456, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.