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MARY A BOUTSELIS
NPI 1720013634
Psychologist - Clinical in University Park, PA

Active since July 11, 2006
314 MOORE BUILDING, UNIVERSITY PARK, PA 16802(814) 865-2191(814) 863-1331 Get Directions Write a Review

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

About Mary A Boutselis NPPES

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

MARY A BOUTSELIS (NPI 1720013634) is an individual clinical provider in University Park, Pennsylvania, licensed in Pennsylvania (PS005233L) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720013634
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY A BOUTSELIS
Location Address314 MOORE BUILDINGUniversity Park, PA 16802
Mailing Address314 Moore BuildingUniversity Park, PA 16802 · (814) 865-2191 · Fax (814) 863-1331
Phone(814) 865-2191
Fax(814) 863-1331
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720013634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS005233L
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.
314 MOORE BUILDING, University Park, PA 16802
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Other Providers at the Same Location NPPES 8

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

LOUIS GEORGES CASTONGUAY
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191
CYNTHIA LEIGH HUANG-POLLOCK PHD
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERISTY PARK, PA 16802
Centre County (814) 865-2191
JEFFREY S JACKSON
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191
FRANK GERARD HILLARY PHD
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191
KRISTEN M KELLY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191
AARON LEE PINCUS
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191
WILLIAM J RAY PHD
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191
JOSE ANGEL SOTO PHD
Psychologist (Clinical)
314 MOORE BUILDING
UNIVERSITY PARK, PA 16802
Centre County (814) 865-2191

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 Mary Boutselis's NPI number?

The NPI number for Mary Boutselis is 1720013634. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mary Boutselis located?

Mary Boutselis practices at 314 Moore Building, University Park, PA 16802. The listed phone number is (814) 865-2191.

What is Mary Boutselis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Boutselis 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.