PHD Kerri N. Boutelle, NPI 1780620906
Clinical Psychologist in La Jolla, CA, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinical Psychologist |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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 |
|---|---|---|---|
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DR. MD Manraj Singh Sekhon Individual |
Student in an Organized Health Care Education/Training Program |
14350 Meridian Parkway |
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MRS. FNP Rupinderjit Kaur Individual |
4120 Dublin Blvd |
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Lorraine Elizabeth Bishop Individual |
1811 Grand Canal Blvd Ste 2 |
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Conor Kelly Individual |
380 Encinal St Ste 200 |
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MA Nicole Phyllis Bermensolo Individual |
10586 W Pico Blvd # 257 |
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BA SLPA Anna Shurilla Individual |
500 W Central Ave Ste B |
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Keith Chung Individual |
11015 Bloomfield Ave |
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RD, CNSC Jessica Ann Mumaugh Individual |
1 Hoag Dr |
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MS. PA-C Leia Binh Tang Individual |
12462 Putnam St Ste 501 |
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Heidi Velasquez Individual |
470 E 3rd St Ste C |
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DR. D.C. Julio Cesar Fassino Individual |
20321 Sw Acacia St Ste 100 |
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Alayne Dhamecha Individual |
23046 Anza Ave |
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Jacqueline Daphnee Surpin Individual |
730 Medical Center Ct |
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Kacey Hu Individual |
2051 Marengo St |
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AMFT Johanna Belen Brubaker Individual |
474 W Vermont Ave |
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April Waight Individual |
1200 Concord Ave Ste 100 |
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Catherine S. Montemayor Individual |
4150 Clement St |
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LMFT Jeremey Sulker-hall Individual |
31200 Via Colinas Ste 202 |
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M.D., M.P.H. Vivek Datta Individual |
2211 Post St Ste 300 |
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|
MFT Yasmin Vishram-morris Individual |
9696 Culver Blvd Ste 303 |
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