Kerri N. Boutelle is a La Jolla, California based psychologist who is specialized in Clinical Psychology. Active license number of Kerri N. Boutelle is PSY21823 for Clinical Psychology in California. Her current practice location is 9500 Gilman Drive Mc 0985, University Of California San Diego, La Jolla. Patients can reach her at 858-534-8037 or can fax her at 858-534-6727. Kerri N. Boutelle is PHD in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1780620906. Kerri N. Boutelle is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Kerri N. Boutelle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kerri N. Boutelle
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
PHD
Practice Address:
9500 Gilman Drive Mc 0985, University Of California San Diego, La Jolla, California, 92093
Phone:
858-534-8037
Fax:
858-534-6727
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780620906
NPI Enumeration Date:
22 Jun, 2006
NPI Last Update On:
22 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kerri N. Boutelle are as mentioned below.
License Number
Specialization
State
Status
PSY21823
Clinical Psychology
California
Primary
PSY21823
Clinical Child & Adolescent Psychology
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kerri N. Boutelle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
123420
Other
Minnesota
UCARE
205A4BO
Other
Minnesota
BCBS
923517500
Medicaid
Minnesota
10387
Other
North Dakota
ND MA
61-60634
Other
Minnesota
MEDICA CHOICE & PRIMARY
839397
Other
Minnesota
ARAZ
7777470
Medicaid
South Dakota
0491997
Medicaid
Montana
1019785
Other
Minnesota
PREFERRED ONE
39136900
Other
Wisconsin
WI MA
HP34903
Other
Minnesota
HEALTHPARTNERS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kerri N. Boutelle Po Box 232410, San Diego, California
Zip:
92193-2410
Phone Number:
858-249-6748
Patients can reach Kerri N. Boutelle at 9500 Gilman Drive Mc 0985, University Of California San Diego, La Jolla, California or can call to book an appointment on 858-534-8037.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.