Active NPI
Jessie Esther Rincon-Schlutz, PSY.D.
- Psychologist
- Santa Fe Springs, CA
National Provider Identifier
1700267499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY31476
- Practice address
- 11741 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-3687 - Phone
- (562) 942-8256
- NPI assigned
- Jun 18, 2015
- Last updated
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY31476 | CA | Primary |
| Rehabilitation Counselor | 225C00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11741 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-3687
Mailing address
902 S Myrtle Ave
Monrovia, CA 91016-3427
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31476 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1700267499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11741 TELEGRAPH RD STE G",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703687",
"telephone_number": "562-942-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINCON-SCHLUTZ",
"first_name": "JESSIE",
"middle_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31476",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.