DR. LANA I. BOUTACOFF PHD, LP
NPI 1437213469
Psychologist in Saint Paul, MN

Active since December 21, 2006
570 ASBURY ST, SUITE 104, SAINT PAUL, MN 55104(651) 645-7318(651) 645-0974 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lana I. Boutacoff Phd, Lp NPPES

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

DR. LANA I. BOUTACOFF PHD, LP (NPI 1437213469) is an individual psychologist in Saint Paul, Minnesota, licensed in Minnesota (LP2623) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1437213469
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LANA I. BOUTACOFFCredential: PHD, LP
Location Address570 ASBURY ST, SUITE 104Saint Paul, MN 55104-1849
Mailing Address570 Asbury St, Suite 104Saint Paul, MN 55104-1849 · (651) 645-7318 · Fax (651) 645-0974
Fax(651) 645-0974
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1437213469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP2623
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
570 ASBURY ST, Saint Paul, MN 55104

Other Providers at the Same Location NPPES 16

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

Psychologist
570 ASBURY ST, SUITE 208
SAINT PAUL, MN 55104
Psychologist (Counseling)
570 ASBURY ST, #304A
SAINT PAUL, MN 55104
Psychologist (Clinical)
570 ASBURY ST, SUITE 103
SAINT PAUL, MN 55104
Community/Behavioral Health
570 ASBURY ST, SUITE 206
SAINT PAUL, MN 55104
Marriage & Family Therapist
570 ASBURY ST, STE. 103
SAINT PAUL, MN 55104
Psychologist (Clinical)
570 ASBURY ST, SUITE 108
SAINT PAUL, MN 55104
Psychologist (Cognitive & Behavioral)
570 ASBURY ST, SUITE 302
SAINT PAUL, MN 55104
Counselor (Mental Health)
570 ASBURY ST, SUITE 300
SAINT PAUL, MN 55104

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 Lana Boutacoff's NPI number?

The NPI number for Lana Boutacoff is 1437213469. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Lana Boutacoff located?

Lana Boutacoff practices at 570 Asbury St Suite 104, Saint Paul, MN 55104. The listed phone number is (651) 645-7318.

What is Lana Boutacoff's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lana Boutacoff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.