Individual provider Active NPI

Paul Hutman, PHD

  • Clinical Psychologist
  • Redding, CA
National Provider Identifier
1811475924
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30205 Issued in CA
Practice address
351 Hartnell Ave # a-17
Redding, CA 96002-1845
Phone
(530) 226-7529
Fax
(530) 226-7689
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30205 CA Primary

Addresses

Primary practice location

351 Hartnell Ave # a-17
Redding, CA 96002-1845

Mailing address

351 Hartnell Ave # a-17
Redding, CA 96002-1845
Phone (530) 226-7529

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30205CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1811475924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE # A-17",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-226-7529",
            "fax_number": "530-226-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE # A-17",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-226-7529",
            "fax_number": "530-226-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTMAN",
        "first_name": "PAUL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.