Oscar Rafael Hernandez Sutton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28375 Issued in CA

Practice address

13980 Blossom Hill Rd
Suite D
Los Gatos, CA 95032-5121

Phone

(831) 225-0213

Fax

(408) 445-0875

NPI assigned

Jun 18, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1700236924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 BLOSSOM HILL RD",
            "address_2": "SUITE D",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325121",
            "telephone_number": "831-225-0213",
            "fax_number": "408-445-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 BLOSSOM HILL RD",
            "address_2": "SUITE D",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325121",
            "telephone_number": "831-225-0213",
            "fax_number": "408-445-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ SUTTON",
        "first_name": "OSCAR",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Hennessee, MA, LMFT, LPCC
• Henry J. Fee MD Medical Corporation
• Adama Henry
• Joel Hensley, PT
• Erik Eugene Hepler, FNP
• Briana Hernandez, PT, DPT
• Jennifer Hernandez
• Molly Babson Hero, M.A., MFT
• Channing Elizabeth Herrera, M.S. MFT
• Maria Cristina Herrera, DDS

• Clinical Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.