Kristin S Boutell (NPI# 1376782318, PAC ID# 6002973849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1376782318 |
| PAC ID by PECOS | 6002973849 |
| Professional Enrollment ID | I20090324000282 |
| Full Name | Kristin S Boutell |
| Organization Legal Name | COMPREHENSIVE YOUTH SERVICES INC |
| Address |
2 Crocker Boulevard Suite 101 Mount Clemens MI 48043-2558 |
| Phone Number | 5864682266 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8022045418 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2 Crocker Boulevard, Suite 101, Mount Clemens, MI 48043-2558 | 5864682266 | COMPREHENSIVE YOUTH SERVICES INC |
| Organization Legal Name | COMPREHENSIVE YOUTH SERVICES INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy G Jazowski | Clinical Social Worker | Comprehensive Youth Services Inc | 2 Crocker Boulevard, Suite 101, Mount Clemens, MI 48043-2558 |
| Sharon Yaecker Roesser | Clinical Social Worker | Comprehensive Youth Services Inc | 2 Crocker Boulevard, Mount Clemens, MI 48043-2558 |
| Street Address |
2 CROCKER BOULEVARD SUITE 101 |
| City | MOUNT CLEMENS |
| State | MI |
| Zip | 48043-2558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy G Jazowski | Clinical Social Worker | Comprehensive Youth Services Inc | 2 Crocker Boulevard, Suite 101, Mount Clemens, MI 48043-2558 |
| Kristin Horton | Clinical Social Worker | 2 Crocker Boulevard, Suite 101, Mount Clemens, MI 48043-2558 | |
| Sharon Yaecker Roesser | Clinical Social Worker | Comprehensive Youth Services Inc | 2 Crocker Boulevard, Mount Clemens, MI 48043-2558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Trask | Psychologist, Clinical | 650 E Big Beaver Rd A, Troy, MI 48043-1432 | |
| Laura L Kelahan | Physical Therapy | Advanced Health Alliance LLC | 395 N Groesbeck Hwy L, Health Point Physical Therapy, Mount Clemens, MI 48043-1561 |
| John Michael M Vasquez | Physical Therapy | Advanced Health Alliance LLC | 395 N Groesbeck Hwy L, Health Point Physical Therapy, Mount Clemens, MI 48043-1561 |
| Melinda K Ryde | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Hilary A Barrington | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Melvine Miller | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Meghan E Slater | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Baljit Singh | Nurse Practitioner | Henry Ford Macomb Hospital Corporation | 215 N Ave, Mount Clemens, MI 48043-1716 |
| Amy E Joseph | Physician Assistant | Top Cardiology Associates of Michigan Pllc | 215 N Ave, Mount Clemens, MI 48043-1716 |
| Arsenio V Deleon | Pulmonary Disease | 215 N Ave, Mount Clemens, MI 48043-1716 | |
| Find all physicians in zip 48043 | |||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MOUNT CLEMENS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kristin S Boutell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.