Organization Active NPI

Kdutt LLC

  • Counseling Psychologist
  • Basking Ridge, NJ
National Provider Identifier
1003330069
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5167 Issued in NJ
Legal business name
KDUTT LLC
Practice address
233 Mount Airy Rd
Basking Ridge, NJ 07920-2338
Phone
(732) 979-4682
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Mr. Komal Dutt, PHD
Title
Owner
Phone
(732) 979-4682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 5167 NJ Primary

Addresses

Primary practice location

233 Mount Airy Rd
Basking Ridge, NJ 07920-2338

Mailing address

28 Beacon Crest Dr
Basking Ridge, NJ 07920-2937
Phone (732) 979-4682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1003330069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BEACON CREST DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202937",
            "telephone_number": "732-979-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MOUNT AIRY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202338",
            "telephone_number": "732-979-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDUTT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "DUTT",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-979-4682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.