Clinical Psychology

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4121 Issued in NE

Legal business name

CLINICAL PSYCHOLOGY

Practice address

2208 Broadway
Scottsbluff, NE 69361-1970

Phone

(308) 632-8080

Fax

(308) 630-0821

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Martin Hutt, PH.D. ABPP

Title

Owner

Phone

(308) 632-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

April L Davis PSYD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• April L. Davis, Psy.D.

  • Psychologist
  • Scottsbluff, NE
  • NPI 1902151681
  NPD tax ID
• Matthew Hutt Group, LLC

  • Psychologist
  • Scottsbluff, NE
  • NPI 1073817128
  NPD tax ID

Locations

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1487192878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611970",
            "telephone_number": "308-632-8080",
            "fax_number": "308-630-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611970",
            "telephone_number": "308-632-8080",
            "fax_number": "308-630-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "HUTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-632-8080",
        "authorized_official_credential": "PH.D. ABPP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026239400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Claussen
• Elizabeth A. Clemens, APRN-C
• Zachary Clemens, APRN
• Jessica Cleveland
• Trisha L Clingan
• Jaimie Ann Clodfelter, DO
• Victoria Lea Closson
• Cynthia Lou Cochran, P.T.
• Julie Lynn Cochran, MA, PLMHP
• Rebecca Cochran

• Mental Health Counselor in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.