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MELISSA BOUCHARD
NPI 1083173629
Peer Specialist in San Diego, CA

Active since March 13, 2019
4104 DELTA ST, SAN DIEGO, CA 92113(619) 264-0141 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Bouchard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA BOUCHARD (NPI 1083173629) is an individual peer specialist in San Diego, California and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1083173629
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMELISSA BOUCHARD
Location Address4104 DELTA STSan Diego, CA 92113-4113
Mailing Address4104 Delta StSan Diego, CA 92113-4113 · (619) 264-0141
Phone(619) 264-0141
Sole ProprietorNo
Enumeration DateMarch 13, 2019
✔ NPI 1083173629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4104 DELTA ST, San Diego, CA 92113
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRADITION ONE
Substance Abuse Rehabilitation Facility
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
CYNTHIA SANTANA
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
PETER ROSS RATKOVICH CADC-CAS
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
TAMARA PARKER
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
CASSANDRA ELIZABETH ARNOLD CADCII
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
BRITTNEY DIXON
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (161) 926-4014
RALPH ANTHONY RAMIREZ
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
DANIELLE MONIQUE ROBERTS
Counselor
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Bouchard's NPI number?

The NPI number for Melissa Bouchard is 1083173629. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Melissa Bouchard located?

Melissa Bouchard practices at 4104 Delta St, San Diego, CA 92113. The listed phone number is (619) 264-0141.

What is Melissa Bouchard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Melissa Bouchard was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.