Theodore Michael Hutman, PH.D.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

25204 Issued in CA

Practice address

760 Westwood PLZ
RM 68-237
Los Angeles, CA 90095-1759

Phone

(310) 825-8866

Fax

(310) 825-2682

NPI assigned

Aug 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1730438227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ",
            "address_2": "RM 68-237",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951759",
            "telephone_number": "310-825-8866",
            "fax_number": "310-825-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ",
            "address_2": "RM 68-237",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951759",
            "telephone_number": "310-825-8866",
            "fax_number": "310-825-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTMAN",
        "first_name": "THEODORE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "25204",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "25204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Hutchinson
• Sarah Hutchinson, MS, AMFT
• Su Hutchinson, MD
• Mary Ann Hutchison, PH.D., M.F.T.
• Megan E Huth
• Russell Hutson, MD
• Kiondre Hutt
• Tina Huttayasomboon, NP
• Andrea Salzman Hutter, L.AC.
• Miriam Golda Zehava Huttler

• Intellectual & Developmental Disabilities Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.