Peter Lewis Rutter, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G20304 Issued in CA

Practice address

205 Camino Alto CT
Ste 240
Mill Valley, CA 94941-4312

Phone

(415) 383-4900

Fax

(415) 503-9727

NPI assigned

Jun 23, 2006

Last updated

Apr 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New York Association for New Americans, Inc

  dba Fifth Avenue Center for Counseling and Psychotherapy

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689656027
  NPD (past)
• SBH Community Service Network, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1104966829
  NPD (past)
• Stanley R Graham PH D PC

  • Clinical Psychologist
  • New York, NY
  • NPI 1760653760
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1639105554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CAMINO ALTO CT",
            "address_2": "STE 240",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414312",
            "telephone_number": "415-383-4900",
            "fax_number": "415-503-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CAMINO ALTO CT",
            "address_2": "STE 240",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414312",
            "telephone_number": "415-383-4900",
            "fax_number": "415-503-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "PETER",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G20304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Marriage and Family Therapy
• Laura Rose, MFT
• Julie A Ross, DDS
• Susan Walker Ruskin, M.S.W
• Jonathan S Rutchik, M.D.
• Caroline Rybicki, DPT, PT
• Michael Martin Saal, M. D.
• Deirdre Elizabeth Sabow, AMFT
• Safelift Mobility Transport
• Safeway Inc (Safeway Pharmacy #0788)

• Psychiatry Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.