Gerard E. Boutin PHD PA
NPI 1124366364ActiveOrganization· Psychologist, Clinical· Largo, FL
Psychologist, Clinical in Largo, Florida, registered in NPPES in January 2013. The authorized official on file is Gerard E. Boutin, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124366364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2013 |
| Last updated in NPPES | Jan 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY0002716 | FL |
| Clinical Neuropsychologist | 103G00000X | PY0002716 | FL |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PY0002716 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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