NPIMap

Organization Active NPI

Matthew Hutt Group, LLC

  • Psychologist
  • Scottsbluff, NE
National Provider Identifier
1073817128
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
331 Issued in NE
Legal business name
MATTHEW HUTT GROUP, LLC
Practice address
2208 Broadway
Scottsbluff, NE 69361-1970
Phone
(308) 632-8080
Fax
(308) 632-8084
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Matthew Martin Hutt, PSYCHOLOGIST
Title
Owner
Phone
(308) 632-8080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 9244 NE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 331 NE Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 393 NE

Addresses

Primary practice location

2208 Broadway
Scottsbluff, NE 69361-1970

Mailing address

2208 Broadway
Scottsbluff, NE 69361-1970
Phone (308) 632-8080

Other identifiers 1

IdentifierTypeStateIssuer
10025917000MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
April L Davis PSYD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1073817128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611970",
            "telephone_number": "308-632-8080",
            "fax_number": "308-632-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611970",
            "telephone_number": "308-632-8080",
            "fax_number": "308-632-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW HUTT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "HUTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-632-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9244",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "331",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025917000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.