Individual provider Active NPI

Jeffrey Cutler, PHD

  • Psychologist
  • Culver City, CA
National Provider Identifier
1780919191
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23039 Issued in CA
Practice address
10664 Saint James Dr
Culver City, CA 90230-5461
Phone
(909) 910-7319
Fax
(323) 872-5232
NPI assigned
Oct 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23039 CA Primary

Addresses

Primary practice location

10664 Saint James Dr
Culver City, CA 90230-5461

Mailing address

1171 S Robertson Blvd # 298
Los Angeles, CA 90035-1403
Phone (909) 910-7319

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091106000491 CA Practitioner - Clinical Psychologist 2062550304 Reassigns benefits to 1 organization
Practice locations: Compton, CA; El Monte, CA; Los Angeles, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY23039CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sapozhnikov & Psychological Associates Inc CurrentSince Sep 16, 2009 Accepting new patients

Locations

150 S Commonwealth Ave
Los Angeles, CA 90004
Phone (213) 382-6381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1780919191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD # 298",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "909-910-7319",
            "fax_number": "323-872-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10664 SAINT JAMES DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305461",
            "telephone_number": "909-910-7319",
            "fax_number": "323-872-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "JEFFREY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.