Active NPI
Patricia L Thomas Shutt PSYD LLC
- Clinical Psychologist
- Delray Beach, FL
National Provider Identifier
1558632117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6439
- Legal business name
- PATRICIA L THOMAS SHUTT PSYD LLC
- Practice address
- 120 SE 4TH Avenue
Delray Beach, FL 33483 - Phone
- (561) 266-8866
- Fax
- (561) 266-0033
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia L Thomas Shutt
- Title
- Psychologist
- Phone
- (561) 266-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6439 | FL | Primary |
Addresses
Primary practice location
120 SE 4TH Avenue
Delray Beach, FL 33483
Mailing address
120 SE 4TH Avenue
Delray Beach, FL 33483
National Provider Directory
National Provider DirectoryLocations
120 SE 4th Ave
Delray Beach, FL 33483
Phone (561) 266-8866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1558632117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SE 4TH AVENUE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SE 4TH AVENUE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33483",
"telephone_number": "561-266-8866",
"fax_number": "561-266-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA L THOMAS SHUTT PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "SHUTT",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "L THOMAS",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "561-266-8866",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.