Qutayba Abdullatif, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28804 Issued in CA

Practice address

2500 E Foothill Blvd Ste 406
Pasadena, CA 91107-7122

Phone

(626) 460-1260

Fax

(626) 628-3051

NPI assigned

Feb 2, 2017

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1134667751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD STE 406",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077122",
            "telephone_number": "626-460-1260",
            "fax_number": "626-628-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD STE 406",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077122",
            "telephone_number": "626-460-1260",
            "fax_number": "626-628-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W 4th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917114707",
            "country_code": "US",
            "telephone_number": "626-460-1260",
            "fax_number": "626-628-3051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S Sepulveda Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900493537",
            "country_code": "US",
            "telephone_number": "626-460-1260",
            "fax_number": "626-628-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLATIF",
        "first_name": "QUTAYBA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB281537",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5672641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salwa Seif El Deen Abdell Aal, RPT
• Linda Maria Abdelsayed
• Melania S Abdessian
• Anita Abdul-Karim
• Kaleema Abdul-Khaaliq
• Joseph E Abe, DDS
• George Soliman Abed, D.M.D, M.S.
• Teny Ana Abedian, DDS
• Maria Antonette Co Abejuela
• James Matthew Abele

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.