Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kerri N. Boutelle, PHD

Clinical Psychologist in La Jolla, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780620906

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Registry record

Entity type Individual (Type 1)

Name Kerri N. Boutelle

Credential PHD

Sex Female

Practice address 9500 Gilman Drive Mc 0985, University of California San Diego, La Jolla, CA, 92093

Phone (858) 534-8037

Fax (858) 534-6727

Enumeration date Jun 22, 2006

Last updated in NPPES Jul 22, 2019

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PSY21823 (CA) Primary

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License PSY21823 (CA) Secondary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kerri Boutelle?

The National Provider Identifier (NPI) for Kerri Boutelle is 1780620906, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kerri Boutelle practice?

The practice location on file with NPPES is in La Jolla, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-22.