Active NPI
Emily Klamer McCutchan, MA
- Psychologist
- San Diego, CA
National Provider Identifier
1689770943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MFC33065
- Practice address
- 3225 Fourth Ave
San Diego, CA 92103-5701 - Phone
- (619) 682-7002
- Fax
- (619) 297-9401
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MFC33065 | CA | Primary |
| Psychologist | 103T00000X | MH2152 | FL |
Addresses
Primary practice location
3225 Fourth Ave
San Diego, CA 92103-5701
Mailing address
3225 Fourth Ave
San Diego, CA 92103-5701
Phone (619) 682-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC33065 | CA | MD | Psychologist |
| MH2152 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689770943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 FOURTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035701",
"telephone_number": "619-682-7002",
"fax_number": "619-297-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 FOURTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035701",
"telephone_number": "619-682-7002",
"fax_number": "619-297-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHAN",
"first_name": "EMILY",
"middle_name": "KLAMER",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "MFC33065",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "MH2152",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.