PHD Kerri N. Boutelle, NPI 1780620906
Clinical Psychologist in La Jolla, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1780620906
NPI Entity Type Individual
Provider Name PHD Kerri N. Boutelle
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9500 Gilman Drive Mc 0985, University Of California San Diego, La Jolla, CA, US
Provider Mailing Address Po Box 232410, San Diego, CA, US, 921932410
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. PSY21823
License State CA
Description A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

PHD Kerri N. Boutelle
9500 Gilman Drive Mc 0985
University Of California San Diego

La Jolla, CA, US

Phone: 858-534-8037
Fax: 858-534-6727

Mailing Address

PHD Kerri N. Boutelle
Po Box 232410
San Diego, CA, US
ZIP 921932410
Phone: 858-249-6748

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

103TC2200X

Behavioral Health & Social Service Providers

Psychologist

PSY21823 CA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
123420 MN UCARE 01
205A4BO MN BCBS 01
923517500 MN MEDICAID 05
10387 ND ND MA 01
61-60634 MN MEDICA CHOICE & PRIMARY 01
839397 MN ARAZ 01
7777470 SD MEDICAID 05
0491997 MT MEDICAID 05
1019785 MN PREFERRED ONE 01
39136900 WI WI MA 01
HP34903 MN HEALTHPARTNERS 01

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

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1043930449

MRS. FNP Rupinderjit Kaur

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1083182836

Lorraine Elizabeth Bishop

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Stockton, CA

1073247417

Conor Kelly

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1700525607

MA Nicole Phyllis Bermensolo

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Group Psychotherapy Psychologist

10586 W Pico Blvd # 257

Los Angeles, CA

1477168409

BA SLPA Anna Shurilla

Individual

Speech-Language Assistant

500 W Central Ave Ste B

Brea, CA

1154881787

Keith Chung

Individual

11015 Bloomfield Ave

Santa Fe Springs, CA

1578283495

RD, CNSC Jessica Ann Mumaugh

Individual

Registered Dietitian

1 Hoag Dr

Newport Beach, CA

1073277828

MS. PA-C Leia Binh Tang

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Physician Assistant

12462 Putnam St Ste 501

Whittier, CA

1881220341

Heidi Velasquez

Individual

Mental Health Counselor

470 E 3rd St Ste C

Los Angeles, CA

1083776496

DR. D.C. Julio Cesar Fassino

Individual

Chiropractor

20321 Sw Acacia St Ste 100

Newport Beach, CA

1174949879

Alayne Dhamecha

Individual

Clinical Social Worker

23046 Anza Ave

Torrance, CA

1164908554

Jacqueline Daphnee Surpin

Individual

Counselor

730 Medical Center Ct

Chula Vista, CA

1306211669

Kacey Hu

Individual

Neurology Physician

2051 Marengo St

Los Angeles, CA

1720613144

AMFT Johanna Belen Brubaker

Individual

Marriage & Family Therapist

474 W Vermont Ave

Escondido, CA

1922723485

April Waight

Individual

Behavior Technician

1200 Concord Ave Ste 100

Concord, CA

1346513611

Catherine S. Montemayor

Individual

Family Nurse Practitioner

4150 Clement St

San Francisco, CA

1356093884

LMFT Jeremey Sulker-hall

Individual

Marriage & Family Therapist

31200 Via Colinas Ste 202

Westlake Village, CA

1306109053

M.D., M.P.H. Vivek Datta

Individual

Behavioral Neurology & Neuropsychiatry Physician

2211 Post St Ste 300

San Francisco, CA

1265563514

MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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