Individual provider Active NPI

Dorothea Hardt Futterman, PSY.D.

  • Student in an Organized Health Care Education/Training Program
  • Dublin, CA
National Provider Identifier
1730374083
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
11740 Dublin Blvd
Suite 206
Dublin, CA 94568-2823
Phone
(925) 640-8078
Fax
(925) 828-8238
NPI assigned
Sep 10, 2007
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

11740 Dublin Blvd
Suite 206
Dublin, CA 94568-2823

Mailing address

648 Saint John St
Pleasanton, CA 94566-6537
Phone (925) 640-8078

Other names 1

  • Dr. Dora Futterman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 15, 2012 through Dec 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23419CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1730374083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SAINT JOHN ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666537",
            "telephone_number": "925-640-8078",
            "fax_number": "925-825-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 DUBLIN BLVD",
            "address_2": "SUITE 206",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682823",
            "telephone_number": "925-640-8078",
            "fax_number": "925-828-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTTERMAN",
        "first_name": "DOROTHEA",
        "middle_name": "HARDT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "FUTTERMAN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.