Mark Eugene Schutter, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1170 Issued in KS

Practice address

300 Hillcrest Dr
Larned State Hospital
Larned, KS 67550-4000

Phone

(620) 285-5806

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1780810879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HILLCREST DR",
            "address_2": "LARNED STATE HOSPITAL",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675504000",
            "telephone_number": "620-285-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLCREST DR",
            "address_2": "LARNED STATE HOSPITAL",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675504000",
            "telephone_number": "620-285-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTER",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "431",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "1170",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "431",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Larned, KS
• Providers in Larned, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.