DR. MICHAEL LOUIS BOUCHER (NPI# 1316165301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316165301 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LOUIS BOUCHER |
| Credential | PH.D. |
| Practice Address |
307 Semloh Dr Syracuse NY 13219-2829 |
| Practice Telephone | 3154680558 |
| Mailing Telephone | 3154680558 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003804 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1427348994 | Michael L Boucher | Pharmacist | 520 W Washington St, Sequim, WA 98382-3279 | 2011-04-18 |
| 1053638932 | Michael Boucher | Psychiatry & Neurology | 760 Westwood Plz, Ucla Psychiatry Res Ed Office, Los Angeles, CA 90024-5055 | 2010-04-30 |
| 1407941438 | Michael Ronald Boucher | Chiropractor | 2834 Acushnet Ave, New Bedford, MA 02745-3412 | 2006-10-04 |
| 1922030808 | Michael J Boucher | Emergency Medicine | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2006-07-07 |
| Street Address |
307 SEMLOH DR |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
| Find all providers in zip 13219 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1114586393 | Paige Ouimette, Phd, Psychologist, PC | Psychologist | 1101 Erie Blvd E Ste 206, Syracuse, NY 13210-1144 | 2019-06-11 |
| 1053827899 | Deborah L. Pollack, Psychologist, PC | Psychologist | 4317 E Genesee St Ste 200, Syracuse, NY 13214-2114 | 2017-12-15 |
| 1235571688 | Kelly C. Richards | Psychologist | 721 Orwood Pl, Syracuse, NY 13208-3124 | 2013-07-26 |
| 1275811291 | Dewitt Counseling Associates, Lcsw, PC | Psychologist | 890 E Brighton Ave, Syracuse, NY 13205-2538 | 2011-07-25 |
| 1992949192 | Angelina S Rodner | Psychologist | 505 Irving Ave, Upstate Concussion Management Program, Syracuse, NY 13210-1718 | 2009-05-01 |
| 1932345998 | Norman J. Lesswing | Psychologist | 307 S Townsend St, Syracuse, NY 13202-2128 | 2008-12-22 |
| 1760656847 | Barbara Mcclure | Psychologist | 6 Lansdowne Rd, Syracuse, NY 13214-2123 | 2008-04-18 |
| 1922149368 | Jerome Rene Wilett | Psychologist | 500 N Mcbride St, Syracuse, NY 13203-1913 | 2007-02-09 |
| 1881755312 | John F Harkulich | Psychologist | 419 Shuart Ave, Syracuse, NY 13203-3025 | 2006-12-12 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.