Robert Glen Northcutt, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51430 Issued in CA

Practice address

8632 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-4015

Phone

(310) 606-2026

Fax

(866) 384-6394

NPI assigned

Jun 27, 2013

Last updated

Jun 27, 2013By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1396185096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502631",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921502631",
            "telephone_number": "858-829-7029",
            "fax_number": "866-384-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454015",
            "telephone_number": "310-606-2026",
            "fax_number": "866-384-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "ROBERT",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Palms Rehabilitation & Wellness Centre, LP
• North Star Families
• North Star Healthcare, LLC (Dba Serrano North Conv Hospital)
• North Star Pharmacy
• Norris Northcutt
• Northeast Community Clinic (Diabetes & Endocrinology Specialty Center)
• Northeast Community Clinic
• Northeast Community Clinic
• Northeast Community Clinic (Northeast Community Clinic Mobile Medical Van)
• Northeast Community Clinic

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.