GERARD E. BOUTIN PHD PA (NPI# 1124366364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124366364 |
| Entity Type | Organization |
| Organization Name | GERARD E. BOUTIN PHD PA |
| Practice Address |
13787 Belcher Rd S 140 Largo FL 33771-4065 |
| Practice Telephone | 7274525083 |
| Mailing Telephone | 7274525083 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | DR. GERARD E. BOUTIN (PRESIDENT) |
| Authorized Official Telephone | 7274525083 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PY0002716 | FL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0002716 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0002716 | FL | Behavioral Health & Social Service Providers |
| Street Address |
13787 BELCHER RD S 140 |
| City | LARGO |
| State | FL |
| Zip Code | 33771-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055177 | Ultra Imaging of Tampa LLC | Clinic/Center | 13787 Belcher Rd S, Suite 300, Largo, FL 33771-4065 | 2005-07-07 |
| 1528455854 | Avery Tritt Holdings, LLC | Home Health | 13787 Belcher Rd S, #200, Largo, FL 33771-4065 | 2015-04-24 |
| 1730579475 | Shc Home Health Services Fl District 5, LLC | Home Health | 13787 Belcher Rd S, Suite 200, Largo, FL 33771-4065 | 2015-02-03 |
| 1831432376 | Philip W Christ Do Pa | Orthopaedic Surgery | 13787 Belcher Rd S, Suite 330, Largo, FL 33771-4065 | 2013-04-03 |
| 1508144957 | Tommie Betancourt, D.o., P.a. | Internal Medicine | 13787 Belcher Rd S, Suite 100, Largo, FL 33771-4065 | 2011-08-02 |
| 1972890622 | Melanie Bowman Therapy, LLC | Social Worker | 13787 Belcher Rd S, Suite 220, Largo, FL 33771-4065 | 2011-07-01 |
| 1871882019 | Melanie Erin Bowman | Social Worker | 13787 Belcher Rd S, Suite 220, Largo, FL 33771-4065 | 2011-03-28 |
| 1386961068 | Mid Pinellas Primary Care, Pl | Internal Medicine | 13787 Belcher Rd S, Suite 100, Largo, FL 33771-4065 | 2010-04-21 |
| 1700054368 | The Center 4 Change, LLC | Community/Behavioral Health | 13787 Belcher Rd S, Suite 340, Largo, FL 33771-4065 | 2008-02-18 |
| 1528246980 | Etairos Health, Inc | In Home Supportive Care | 13787 Belcher Rd S, Suite 220, Largo, FL 33771 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970822 | Keys2health LLC | Nurse Practitioner | 1050 Starkeyrd. Unit 606, Largo, FL 33771 | 2020-07-23 |
| 1194210906 | Agape Gem Care LLC | In Home Supportive Care | 2945 E Bay Dr Ste A, Largo, FL 33771 | 2018-06-25 |
| 1487162723 | Aim Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 8380 Ulmerton Rd Ste 302, Largo, FL 33771 | 2018-01-22 |
| 1629511720 | Jane Maguire Inc | Counselor | 1101 Belcher Rd. S., Suite J., Largo, FL 33771 | 2016-11-22 |
| 1477890283 | Celisa K Bonner | Social Worker | 13787 Belcher Road S., Suite 220, Largo, FL 33771 | 2013-01-14 |
| 1619283330 | Mary J. Martin | Counselor | 1101 S. Belcher Rd, Suite E, Largo, FL 33771 | 2010-08-19 |
| 1578796538 | Miguel Messina | Counselor | 1501 S. Belcher Rd, Suite B-4, Largo, FL 33771 | 2009-08-25 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1104060391 | Letitia A Mcintosh-reid | Behavioral Analyst | 940 Starkey Road, # 3105, Largo, FL 33771 | 2009-05-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| Find all providers in zip 33771 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225424161 | Michael A. Turnbull | Psychologist | 1300 Mercantile Ln Ste 208, Largo, MD 20774-5340 | 2015-04-07 |
| 1518280981 | Jeanette Froncillo | Psychologist | 2401 W Bay Dr Ste 117, Largo, FL 33770-4902 | 2010-03-12 |
| 1437285871 | Deborah Renee Bloome | Psychologist | 14521 Walsingham Rd, Largo, FL 33774-3342 | 2007-02-27 |
| 1083749386 | Gerard E Boutin | Psychologist | 13787 Belcher Rd S Ste 140, Largo, FL 33771-4065 | 2007-02-23 |
| 1578633350 | Susan G Ellis | Psychologist | 3233 E Bay Dr, Suite 100, Largo, FL 33771-1900 | 2006-11-08 |
| 1619081841 | Carol Marie Obrien | Psychologist | 10823 Seminole Blvd, Suite 3a, Largo, FL 33778-3347 | 2006-08-17 |
| 1427161041 | Allan David Fine | Psychologist | 801 W Bay Dr Ste 337, Largo, FL 33770-3269 | 2006-08-16 |
| 1184637779 | Tia Kern-butler | Psychologist | 12360 66th St Ste 930, Largo, FL 33773-3434 | 2006-08-14 |
| 1316921737 | Lynda Gurvitz | Psychologist | 11281 Ulmerton Rd, Largo, FL 33778-1626 | 2005-11-30 |
| 1134667132 | Mind Matters Too, LLC | Psychologist | 9701 Apollo Dr, Suite 441, Largo, MD 20774-4783 | 2017-02-09 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.