Active NPI
John Robert Hutson, PHD
- Clinical Psychologist
- Cordova, TN
National Provider Identifier
1255432258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P412
- Practice address
- 1540 Appleing Care Lane
100
Cordova, TN 38016 - Phone
- (901) 388-1893
- Fax
- (901) 388-1995
- NPI assigned
- Sep 25, 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 | P412 | TN | Primary |
Addresses
Primary practice location
1540 Appleing Care Lane
100
Cordova, TN 38016
Mailing address
1540 Appleing Care Lane
100
Cordova, TN 38016
Phone (901) 388-1893
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 |
|---|---|---|---|
| P412 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255432258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 APPLEING CARE LANE",
"address_2": "100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38016",
"telephone_number": "901-388-1893",
"fax_number": "901-388-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 APPLEING CARE LANE",
"address_2": "100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38016",
"telephone_number": "901-388-1893",
"fax_number": "901-388-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTSON",
"first_name": "JOHN",
"middle_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
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.