Organization Active NPI

Stephanie Dutton Psy.D.,P.a.

  • Clinical Psychologist
  • Panama City, FL
National Provider Identifier
1073055232
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8095 Issued in FL
Legal business name
STEPHANIE DUTTON PSY.D.,P.A.
Practice address
11 W 23Rd St BLDG D1
Panama City, FL 32405-4553
Phone
(850) 832-6724
Fax
(850) 769-2366
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Ms. Stephanie S Dutton, PSYD
Title
Clinical Psychologist
Phone
(850) 832-6724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY8095 FL Primary

Addresses

Primary practice location

11 W 23Rd St BLDG D1
Panama City, FL 32405-4553

Mailing address

11 W 23Rd St BLDG D1
Panama City, FL 32405-4553
Phone (850) 832-6724

National Provider Directory

National Provider Directory

Locations

11 W 23rd St
Bldg D1
Panama City, FL 32405
Phone (850) 522-9456

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1073055232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 23RD ST BLDG D1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054553",
            "telephone_number": "850-832-6724",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 23RD ST BLDG D1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054553",
            "telephone_number": "850-832-6724",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE DUTTON PSY.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-832-6724",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.