Individual provider Active NPI

Cheryl Arutt, PSY.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1902003064
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16469 Issued in CA
Practice address
9025 Wilshire Blvd
Suite 302
Beverly Hills, CA 90211-1831
Phone
(310) 273-2755
NPI assigned
Jun 29, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PSY16469 CA Primary

Addresses

Primary practice location

9025 Wilshire Blvd
Suite 302
Beverly Hills, CA 90211-1831

Mailing address

9025 Wilshire Blvd
Suite 302
Beverly Hills, CA 90211-1831
Phone (310) 273-2755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 16, 2021 through Aug 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY16469CAMDClinical Psychologist
16469CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902003064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 302",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-273-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 302",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-273-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUTT",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.