Shane P Hutton PHD a Professional Psychologist Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23919 Issued in CA

Legal business name

SHANE P HUTTON PHD A PROFESSIONAL PSYCHOLOGIST CORPORATION

Practice address

9444 Reverie Rd
Tujunga, CA 91042-3024

Phone

(818) 569-9440

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Shane P Hutton

Title

Provider/President

Phone

(818) 569-9440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1841662772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 REVERIE RD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910423024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 REVERIE RD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910423024",
            "telephone_number": "818-569-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE P HUTTON PHD A PROFESSIONAL PSYCHOLOGIST CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "818-569-9440"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ofelia M Sandoval, M.ED, BCBA
• Oganes Saradjian, D.C.
• Meline Sarkissian
• Susan Florence Scalzo, LCSW
• Hasmik S. Seim
• Audra Shapiro Bershed, DOULA
• Christina Shin, PHARM.D.
• Significant Home Health, Inc.
• Slea
• Robert R. Snyder, MFTI

• Clinical Psychologist in Tujunga, CA
• Providers in Tujunga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.