Active NPI
Steven B. Kutash, Psy.D., PLLC
- Clinical Psychologist
- Fort Collins, CO
National Provider Identifier
1306233721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STEVEN B. KUTASH, PSY.D., PLLC
- Practice address
- 1030 Centre Ave
Suite B
Fort Collins, CO 80526-1849 - Phone
- (970) 568-6323
- Fax
- (970) 305-8322
- NPI assigned
- Apr 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Brant Kutash, PSY.D.
- Title
- Managing Member
- Phone
- (970) 568-6323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1030 Centre Ave
Suite B
Fort Collins, CO 80526-1849
Mailing address
1030 Centre Ave
Suite B
Fort Collins, CO 80526-1849
Phone (970) 568-6323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1030 Centre Ave
Ste B
Fort Collins, CO 80526
Phone (406) 544-2307
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Fort Collins, CO
- NPI 1326272816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438300800000",
"number": "1306233721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 CENTRE AVE",
"address_2": "SUITE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261849",
"telephone_number": "970-568-6323",
"fax_number": "970-305-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 CENTRE AVE",
"address_2": "SUITE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261849",
"telephone_number": "970-568-6323",
"fax_number": "970-305-8322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN B. KUTASH, PSY.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-23",
"last_updated": "2015-07-31",
"status": "A",
"authorized_official_last_name": "KUTASH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "BRANT",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "970-568-6323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.