Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RONALD CHARLES BOUTELLE, PHD, PSYD
Active Sole ProprietorDR. RONALD CHARLES BOUTELLE, PHD, PSYD is a Psychologist healthcare provider located in LOS ANGELES, California. NPI 1316983562 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LOS ANGELES, CA
Registration Details
- NPI Number
- 1316983562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.141784379087 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PSY10792 (CA)PSY10792 (CA)PSY10792 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12304 SANTA MONICA BLVDSUITE 106LOS ANGELES, CA, 900252551Browse CA providers · Browse ZIP 90025
- Phone
- 3103176784
- Fax
- 3103176784
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychoanalysis (Psychologist)
- Additional Specialty
- Psychologist
Other Psychologist Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOAN MARIE CALANDRA | PHD | 1730173865 |
| SHARON DOTEMOTO | PH.D. | 1841281946 |
| DR. ENRIQUE LOPEZ | PSY.D. | 1497737738 |
| DR. STEPHANIE R BARON | PH.D. | 1730162157 |
| DR. JOHANNA SCHOR | ED.D. | 1164405916 |
| MS. RENEE R SPERLING | MSW LCSW BCD | 1568441053 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.