Active NPI
Rebecca Hutt, PSY.D.
- Clinical Child & Adolescent Psychologist
- New York, NY
National Provider Identifier
1174913370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 68-020408
- Practice address
- 255 W 101St St
1St Floor
New York, NY 10025-4974 - Phone
- (212) 678-7792
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- 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 Child & Adolescent Psychologist | 103TC2200X | 68-020408 | NY | Primary |
Addresses
Primary practice location
255 W 101St St
1St Floor
New York, NY 10025-4974
Mailing address
255 W 101St St
1St Floor
New York, NY 10025-4974
Phone (212) 678-7792
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68-020408 | NY | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1174913370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W 101ST ST",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254974",
"telephone_number": "212-678-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W 101ST ST",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254974",
"telephone_number": "212-678-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTT",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "68-020408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.