GERARD E. BOUTIN PHD PA
NPI 1124366364
Psychologist - Clinical in Largo, FL

Q: What is Gerard E. Boutin Phd PA's NPI number?

The NPI number for Gerard E. Boutin Phd PA is 1124366364. It was assigned to this organization in the NPPES registry on January 23, 2013.

Q: What is Gerard E. Boutin Phd PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 23, 2013

13787 BELCHER RD S, 140, LARGO, FL 33771(727) 452-5083 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gerard E. Boutin Phd Pa NPPES

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

GERARD E. BOUTIN PHD PA (NPI 1124366364) is a healthcare organization registered as a clinical in Largo, Florida and active in the NPI registry since January 2013. The organization lists Gerard E. Boutin, President, as its authorized official.

NPPES Registry Identity

NPI1124366364

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGERARD E. BOUTIN PHD PA

Location Address13787 BELCHER RD S, 140Largo, FL 33771-4065

Mailing Address13787 Belcher Rd S, 140Largo, FL 33771-4065 · (727) 452-5083

Phone(727) 452-5083

Organization SubpartNo

Authorized OfficialGerard E. BoutinPresident · (727) 452-5083

Enumeration DateJanuary 23, 2013

✔ NPI 1124366364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY0002716

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PY0002716 (FL)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PY0002716 (FL)

13787 BELCHER RD S, Largo, FL 33771

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerard E. Boutin Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gerard E. Boutin Phd PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gerard Boutin, PH.D

Clinical Psychologist

NPI 1083749386

13787 BELCHER RD S STE 140
Largo, FL 33771

(727) 518-7394

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gerard E. Boutin Phd PA's NPI number?

The NPI number for Gerard E. Boutin Phd PA is 1124366364. It was assigned to this organization in the NPPES registry on January 23, 2013.

Where is Gerard E. Boutin Phd PA located?

Gerard E. Boutin Phd PA is located at 13787 Belcher Rd S 140, Largo, FL 33771. The listed phone number is (727) 452-5083.

What is Gerard E. Boutin Phd PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gerard E. Boutin Phd PA enrolled in Medicare?

Yes. Gerard E. Boutin Phd PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gerard E. Boutin Phd PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Gerard E. Boutin Phd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gerard E. Boutin Phd PA was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.