IndividualActive
Su Boudreau
NPI 1336535210 · Marriage & Family Therapist · La Jolla, CA
Su Boudreau is a Marriage & Family Therapist provider in La Jolla, CA (NPI 1336535210).
Provider details
- NPI number
- 1336535210
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LMFT128747 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1140 Wall St # 355
La Jolla, CA 92037-4531
Phone: (858) 218-0863
Street-level locationGet directions
Mailing address
1140 Wall St # 355
La Jolla, CA 92037-4531
Additional practice locations (1)
- 892 27th StSan Diego, CA 92154Phone: (619) 575-4687
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Frequently asked questions
- What is Su Boudreau's NPI number?
- Su Boudreau's National Provider Identifier (NPI) is 1336535210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Su Boudreau's specialty?
- Su Boudreau is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Su Boudreau located?
- Su Boudreau's practice location on file with NPPES is 1140 Wall St # 355, La Jolla, CA 92037-4531.
- What is Su Boudreau's phone number?
- The practice phone number listed in the NPPES registry for Su Boudreau is (858) 218-0863.
- Is Su Boudreau's NPI active?
- Yes — Su Boudreau's NPI (1336535210) is active in the NPPES registry as of the last update on 2022-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.