David J Kutz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1031 Issued in NM

Practice address

2074 Galisteo St
A1
Santa Fe, NM 87505-2138

Phone

(505) 345-6100

Fax

(505) 345-4531

NPI assigned

Jan 2, 2007

Last updated

Jan 12, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David J. Kutz, PHD, Consultants PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Fe, NM
  • NPI 1245709328
  NPD Authorized official
• Awh LLC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1093171035
  NPD (past)
• Addiction Recovery Resources of New Orleans

  • Substance Abuse Rehabilitation Facility
  • Metairie, LA
  • NPI 1114924859
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1245397066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST",
            "address_2": "A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052138",
            "telephone_number": "505-345-6100",
            "fax_number": "505-345-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST",
            "address_2": "A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052138",
            "telephone_number": "505-345-6100",
            "fax_number": "505-345-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "949",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick M Kullman, M.D.
• Kumara Hampton Therapy, LLC
• Beverly Kune, LPCC, LMT
• Tenzin Kunsang
• Jasmine Kurkowski
• Breanna Kwan
• La Familia Medical Center (La Familia Health)
• La Familia Medical Center (La Familia Health)
• La Familia Medical Center (La Familia Health Pharmacy)
• La Familia Medical Center (La Familia Health)

• Clinical Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.