Individual provider Active NPI

Christian Eric Schutte, PH.D.

  • Clinical Psychologist
  • Dearborn, MI
National Provider Identifier
1427234707
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013374 Issued in MI
Practice address
18181 Oakwood Blvd Ste 411
Dearborn, MI 48124-4082
Phone
(313) 982-5150
NPI assigned
Jan 16, 2008
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301013374 MI
Clinical Psychologist 103TC0700X 6301013374 MI Primary
Rehabilitation Psychologist 103TR0400X 6301013374 MI

Addresses

Primary practice location

18181 Oakwood Blvd Ste 411
Dearborn, MI 48124-4082

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1848

Other practice location 1

20700 Civic Center Dr Ste 327
Southfield, MI 48076-4150
Phone (734) 735-6788

Other practice location 2

900 Victors Way Ste 175
Ann Arbor, MI 48108-5224
Phone (734) 735-6788

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cschutte5829058@direct.beaumont.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170125001218 MI Practitioner - Clinical Psychologist 1052693124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18181 Oakwood Blvd
Dearborn, MI 48124-4082

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301013374MIMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc. CurrentSince Jan 20, 2017 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Jan 20, 2017 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Feb 27, 2023 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

1400 E Michigan Ave
Jackson, MI 49202
Phone (517) 314-2990

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • Direct secure messaging: cschutte454949@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1427234707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1848",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 411",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "313-982-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20700 Civic Center Dr Ste 327",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480764150",
            "country_code": "US",
            "telephone_number": "734-735-6788",
            "fax_number": "734-325-2326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Victors Way Ste 175",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481085224",
            "country_code": "US",
            "telephone_number": "734-735-6788",
            "fax_number": "734-325-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "CHRISTIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301013374",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013374",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301013374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschutte5829058@direct.beaumont.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18181 Oakwood Blvd Ste 411",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.