Active NPI
Douglas H Hutton, PSYD
- Psychoanalyst
- Manhattan Beach, CA
National Provider Identifier
1184833865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- MFT40100
- Practice address
- 2100 N Sepulveda Blvd
Suite #26
Manhattan Beach, CA 90266 - Phone
- (310) 766-7799
- Fax
- (310) 546-4548
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | MFT40100 | CA | Primary |
Addresses
Primary practice location
2100 N Sepulveda Blvd
Suite #26
Manhattan Beach, CA 90266
Mailing address
Box 5193
Playa del Rey, CA 90296
Phone (310) 766-7799
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 |
|---|---|---|---|
| MFT40100 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184833865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 5193",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "90296",
"telephone_number": "310-766-7799",
"fax_number": "310-546-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N SEPULVEDA BLVD",
"address_2": "SUITE #26",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-766-7799",
"fax_number": "310-546-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "DOUGLAS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "MFT40100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.