Christine Boudoures, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19695 Issued in CA

Practice address

103 D St
Suite a
Marysville, CA 95901-6017

Phone

(530) 671-3427

Fax

(530) 671-3877

NPI assigned

Sep 20, 2006

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Family Therapy Centers, Inc.

  • Marriage & Family Therapist
  • Grass Valley, CA
  • NPI 1336648385
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1972601219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 D ST",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016017",
            "telephone_number": "530-671-3427",
            "fax_number": "530-671-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 D ST",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016017",
            "telephone_number": "530-671-3427",
            "fax_number": "530-671-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDOURES",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L. Bonacci, FNP, PA
• Arnold Lydell Booth, COUNSELOR
• Deanna Elaine Borjesson
• Tesla Borrero
• Theresa T Boswell, LCSW
• Ashley Bowles
• Joellyn Boyle, R.N., P.H.N.
• Kaleya Nicole Bracy
• Cierra Bradfield
• Alexandrina Braica

• Psychologist in Marysville, CA
• Providers in Marysville, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.