Stephanie Suzanne Bouc, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY 16275 Issued in CA

Practice address

26485 Carmel Rancho Blvd Ste 5
Carmel, CA 93923-8706

Phone

(831) 235-7758

NPI assigned

Sep 4, 2014

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1669873055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB HTS",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "939249560",
            "telephone_number": "831-235-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26485 CARMEL RANCHO BLVD STE 5",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238706",
            "telephone_number": "831-235-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUC",
        "first_name": "STEPHANIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY 16275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Berry, PSY.D.
• Harvey Ellsworth Billig III, M.D.
• Sonia Blue
• David Bogdanoff
• Brian Boles
• Ashley Nichole Boyer, OTR/L, PT, DPT
• Anjanette Day Brannon, LMFT
• Maureen Beeton Brinkerhoff, LCSW
• Shyla Broach
• David F Brock, MSPT

• Counseling Psychologist in Carmel, CA
• Providers in Carmel, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.