Active NPI
Amanda Dutton, PSYD.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1407288798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31456
- Practice address
- 9921 Carmel Mountain Rd # 217
San Diego, CA 92129-2813 - Phone
- (619) 786-7302
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 | PSY31456 | CA | Primary |
Addresses
Primary practice location
9921 Carmel Mountain Rd # 217
San Diego, CA 92129-2813
Mailing address
9921 Carmel Mountain Rd # 217
San Diego, CA 92129-2813
Phone (619) 786-7302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31456 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1407288798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 CARMEL MOUNTAIN RD # 217",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292813",
"telephone_number": "619-786-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9921 CARMEL MOUNTAIN RD # 217",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292813",
"telephone_number": "619-786-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "AMANDA",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.