Active NPI
Jean-Claude Dutes, PHD
- Psychologist
- Boca Raton, FL
National Provider Identifier
1861580821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LPY19
- Practice address
- 777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6424 - Phone
- (561) 557-1190
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301006498 | MI | |
| Psychologist | 103T00000X | LPY19 | FL | Primary |
Addresses
Primary practice location
777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6424
Mailing address
777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6424
Phone (561) 557-1190
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPY19 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1861580821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 GLADES RD BLDG AZ-79",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316424",
"telephone_number": "561-557-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 GLADES RD BLDG AZ-79",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316424",
"telephone_number": "561-557-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTES",
"first_name": "JEAN-CLAUDE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301006498",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "LPY19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.