Active NPI
Robert Raymond Hutzell, PH.D.
- Clinical Psychologist
- Knoxville, IA
National Provider Identifier
1144278086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 245
- Practice address
- 1515 W Pleasant St
Knoxville, IA 50138-3354 - Phone
- (641) 842-3101
- Fax
- (641) 828-5307
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 245 | IA | Primary |
Addresses
Primary practice location
1515 W Pleasant St
Knoxville, IA 50138-3354
Mailing address
PO Box 112
Knoxville, IA 50138-0112
Phone (641) 842-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1144278086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501380112",
"telephone_number": "641-842-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W PLEASANT ST",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501383354",
"telephone_number": "641-842-3101",
"fax_number": "641-828-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTZELL",
"first_name": "ROBERT",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.