Individual provider Active NPI

Cornelius J Schutte, PH.D.

  • Clinical Psychologist
  • New Orleans, LA
National Provider Identifier
1629031067
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
655 Issued in LA
Practice address
3520 General Degaulle Dr
Suite 4098
New Orleans, LA 70114-6757
Phone
(504) 362-8046
Fax
(504) 362-2215
NPI assigned
Apr 7, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 655 LA Primary

Addresses

Primary practice location

3520 General Degaulle Dr
Suite 4098
New Orleans, LA 70114-6757

Mailing address

3520 General Degaulle Dr
Suite 4098
New Orleans, LA 70114-6757
Phone (504) 362-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130212000235 LA Practitioner - Clinical Psychologist 2365696820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 Westbend Pkwy
Suite 4098
New Orleans, LA 70114-2470
Phone (504) 362-8046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
655LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelius J Schutte PHD Clinical CurrentSince Dec 4, 2012 Accepting new patients

Locations

2401 Westbend Pkwy
Ste 4098
New Orleans, LA 70114
Phone (504) 362-4122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1629031067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4098",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-8046",
            "fax_number": "504-362-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4098",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-8046",
            "fax_number": "504-362-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "CORNELIUS",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.