Active NPI
Robert Scott Cull, PSY.D
- Clinical Psychologist
- Susanville, CA
National Provider Identifier
1396030557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38950
- Practice address
- 830 Main St
Susanville, CA 96130-4405 - Phone
- (530) 913-0676
- NPI assigned
- Jun 16, 2011
- Last updated
- Jun 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 38950 | CA | Primary |
Addresses
Primary practice location
830 Main St
Susanville, CA 96130-4405
Mailing address
10386 Crows Nest LN (Resident)
PO Box 504 (Mailing)
Penn Valley, CA 95946-0504
Phone (530) 913-0676
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1396030557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10386 CROWS NEST LN (RESIDENT)",
"address_2": "PO BOX 504 (MAILING)",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959460504",
"telephone_number": "530-913-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 MAIN ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304405",
"telephone_number": "530-913-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULL",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "38950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.