Dr George James Bouklas, PHD - Psychologist in East Setauket, NY

Dr George James Bouklas, PHD is a Psychologist - Clinical based in East Setauket, New York. Dr George James Bouklas is licensed to practice in New York (license number 011248) and his current practice location is 69a Gnarled Hollow Rd, East Setauket, New York. He can be reached at his office (for appointments etc.) via phone at (631) 751-0092.

NPI number for Dr George James Bouklas is 1891834305 and his current mailing address is 69a Gnarled Hollow Rd, East Setauket, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891834305.

Contact Information

Dr George James Bouklas, PHD
69a Gnarled Hollow Rd,
East Setauket, NY 11733-2026
(631) 751-0092
(631) 689-6201

Map and Direction




Healthcare Provider's Profile

Full NameDr George James Bouklas
GenderMale
SpecialityPsychologist - Clinical
Location69a Gnarled Hollow Rd, East Setauket, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891834305
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr George James Bouklas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891834305NPI-NPPES
01338949MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 011248 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr George James Bouklas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr George James Bouklas, PHD
69a Gnarled Hollow Rd,
East Setauket, NY 11733-2026

Ph: (631) 751-0092
Dr George James Bouklas, PHD
69a Gnarled Hollow Rd,
East Setauket, NY 11733-2026

Ph: (631) 751-0092

Reviews and Comments


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