Jeffrey I Hutter, CLINICAL PSYCHOLOGY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY4024 Issued in CA

Practice address

3201 Wilshire Blvd Ste 209
Santa Monica, CA 90403-2335

Phone

(310) 458-7112

NPI assigned

Apr 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1306699780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "310-458-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "310-458-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTER",
        "first_name": "JEFFREY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "CLINICAL PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sona Hurtz
• Holly Dale Hustadhardgrove, LCSW
• Zachary Hutchens
• Gabriella Hutchinson
• William B Hutchinson Jr., MD
• Rochelle Beyer Hutter, MED, LMFT
• Ashley Huynh
• Megan Baothu Huynh
• Karen Hwang, CRNA
• Griffin Troy Hyatt, L.AC.

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.