Individual provider Active NPI

Richard Kutz Jr., PSY.D.

  • Health Psychologist
  • Indiana, PA
National Provider Identifier
1245635903
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Practice address
149 Hamill Rd
Indiana, PA 15701
Phone
(724) 541-2470
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X Primary

Addresses

Primary practice location

149 Hamill Rd
Indiana, PA 15701

Mailing address

149 Hamill Rd
Indiana, PA 15701
Phone (724) 541-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180702001273 PA Practitioner - Clinical Psychologist 7214283456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

320 Main St
4TH
Johnstown, PA 15901-1601
Phone (814) 534-6991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince May 15, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince May 15, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince May 15, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince May 15, 2018 Accepting new patients

Locations

320 Main St
Fl 4
Johnstown, PA 15901
Phone (814) 534-3854

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1245635903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HAMILL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-541-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HAMILL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-541-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.