Individual provider Active NPI

Neil Schuitevoerder, PH.D.

  • Clinical Psychologist
  • Woodland Hills, CA
National Provider Identifier
1356493209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11859 Issued in CA
Practice address
21241 Ventura Blvd
Suite 269
Woodland Hills, CA 91364-2108
Phone
(818) 348-2348
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY11859 CA Primary

Addresses

Primary practice location

21241 Ventura Blvd
Suite 269
Woodland Hills, CA 91364-2108

Mailing address

21241 Ventura Blvd
Suite 269
Woodland Hills, CA 91364-2108
Phone (818) 348-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101021000307 CA Practitioner - Clinical Psychologist 6709079874 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2404 Loring St
San Diego, CA 92109-2347
Phone (818) 430-7792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11859CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Hospice Care Inc PastSince Nov 1, 2020 Accepting new patients
Special Care Hospice Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356493209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD",
            "address_2": "SUITE 269",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642108",
            "telephone_number": "818-348-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD",
            "address_2": "SUITE 269",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642108",
            "telephone_number": "818-348-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUITEVOERDER",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.