Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ronald Charles Boutelle, PHD, PSYD

Individual provider Clinical Psychologist · NPI 1316983562

Dr. Ronald Charles Boutelle, PHD, PSYD is a Clinical Psychologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12304 Santa Monica Blvd Ste 106
Los Angeles, CA 90025-2551
Phone: (310) 317-6784
Fax: (310) 317-6784
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY10792 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY10792 (CA)
Psychoanalysis Psychologist Taxonomy 103TP0814X · Licence PSY10792 (CA)

Record details

NPI number1316983562
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , PSYD
Sole proprietorYes
NPI enumeratedJune 22, 2006
Last updated in NPPESSeptember 11, 2025

Other providers in Los Angeles